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AGENT QUALIFICATION QUESTIONS
LPG Cylinder Exchange Network. Answer questions to the best of your ability in order to get shortlisted/qualified to receive LEAF-Gas branded LPG cylinders and extended credit for buying LPG
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* Indicates required question
Email
*
Your email
Agent Name or Company Name
*
Your answer
Head Office / Retail Store Address
*
Your answer
Mobile Number
*
Your answer
Local Government Area
*
Your answer
Current Bank
*
Your answer
How long have you been trading or selling LPG
*
0 - 1 years
1 - 2 years
3 - 6 years
6 - 10 years or more
Other:
Where do you buy your LPG (name depot or gas plant)
*
Your answer
Do you own your cylinders?
Yes
No
Other:
Clear selection
If so, how many cylinders do you own?
Yes
No
Other:
Clear selection
What quantity of LPG do you buy per month
less than 100 kg
100 - 500 kg
500 - 1000kg
Other:
Clear selection
What quantity of LPG do you sell per month
less than 100 kg
100 - 500 kg
500 - 1000 kg
Other:
Clear selection
What cylinder size do you buy your LPG in
*
12.5kg Cylinders
25.0kg Cylinders
50.0kg Cylinders
Other:
How do you pay for your LPG
Cash
Bank Transfer
POS
Other:
Clear selection
How do you transport your refilled cylinders to your retail store
Your answer
How do you deliver your cylinders to your customers
Your answer
Will you be interested in becoming a LEAF Agent
Yes
No
Maybe
Clear selection
How many 3 kg cylinders do you want per week
0
10
20
30
40
50
Other:
Clear selection
How many 6 kg cylinders do you want per week
0
10
20
30
40
50
Other:
Clear selection
How many 12.5 kg cylinders do you want per week
0
10
20
30
40
50
Other:
Clear selection
How many 25 kg cylinders do you want per week
0
10
20
30
40
50
Other:
Clear selection
How many 50 kg cylinders do you want per week
0
10
20
30
40
50
Other:
Clear selection
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