BECOME A TOTALENERGIES SERVICE STATION DEALER

1. Service Station Size and Construction

*** Fuel Service

*** Lubricants Service (QAC)

*** Bonjour Shop

*** Café Bonjour

* Wash

* Other Services

3. Detail Information ^*

Name (Mr./Miss./Mrs.): ^*

Age ^*

Phone Number : ^*

Email Address: ^*

Do you have any experience in operating the service station ^*

A Copy of ID card (back and front) or only other official documents ^*

One file only.
5 MB limit.
Allowed types: gif, jpg, jpeg, png.

Width: ^*

Length: ^*

Land address: ^*

Land Area: (Photo of Land): ^*

One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png.

I agree to the TotalEnergies terms and conditions

yes" ^*

no" ^*