First Name

Last Name

Email

Phone

Company

Job Title

Postal Code

Province Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nunavut Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon

Sector of Business Construction and Off Highway Machinery Construction and Off Highway OEM and Dealer Fleet – On-Highway trucks Fleet – Waste Gas Industry General Manufacturing - Chemicals General Manufacturing - Metals General Manufacturing - Petrochemicals/ Refineries General Manufacturing - Plastics General Manufacturing - Pulp & Paper General Manufacturing - Tire & Rubber General Manufacturing – Other Heavy Duty Truck Stop/Repair Facility Heavy Duty Truck OEM/Dealer Heavy Duty Truck Parts & Service Distributor Mining Oil Field / Well Services Power - Utilities Power – Wind Power –Gas Engines Power - Gas Production Power - Gas Processing Power - Gas Transmission Quarry/cement Rail

Fleet Size 1-100 100-350 350+

Number of Litres Purchased Per Year 1-30,000 L 30,001 and up L

Requesting a Quote For:

Do you want to receive future communications from Shell and its distributors YesNo

Comments

By submitting this form, you agree to the Shell Privacy Policy. 

Please view the Shell Privacy Policy here