GasFinder Station Survey Form

This form is provided to you to add/correct information about gasoline stations in your area. Please do not be alarmed by the length of the form. Just fill in the information you know, and leave the other boxes blank. Your input will help make finding a competitive gas station easier for others.

If you need help figuring out just what to put into each box, just click on the help button.
Station Information
Station Name:
Street Address:
Cross Street:
City/State/Zip:
Phone Number:
Hours of Operation:
Station Owner:
Gasoline Brand:
Number of Pumps:
Payment Options:
  Cash ATM Credit
Pump
Island
Cashier
ATM Fee: (per transaction)
Credit Surchage: (per gallon)
Other Services:
Convenience Store
Smog Check
Lube/Oil/Filter 		Brakes
Tires
Full Service Bay
Date of Survey:
Email Address:

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