COMMANDER SITE SURVEY UPON COMPLETION, EMAIL TO:
[email protected] SITE INFORMATION Major Oil Flag (BP, Chevron, Conoco, Shell, Unbranded): Site Name and Store #: Manager’s Name: Street Address: City, State, Zip Code: Site’s Credit Card Network Connection Type: VSAT DSL Cable If the site has a Satellite, Does the PES/HUGHES Box have an E-LAN Card? Yes No Site’s Hours of Operation: Surveyor Information Survey End Time: Survey Date: Survey Start Time: Survey Company Survey Technician Name: Street Address: City, State, Zip Code: Telephone #: Telephone Line Identification at Telco Demarc Site Considerations Lin Ceiling Type Telephone # Line Use e Drop Tile Lock Tile Solid Other: 1 2 Ceiling Height 8-foot Other: Does the store have Internet access? Yes No If Yes, what access method? None DSL Cable VSAT Dialup Who is the Internet Service Provider? Back Office, Loyalty and Rollback Information Present Interfaced # of Current Software Component Y/N to POS? Brand and Model Units Version Back Office PC Back Office Accounting Software (PDI, Oasis, etc.) Does Site use Loyalty Program Loyalty Partner (Excentus, Safeway, etc…) Price Rollback at Pump – Does site currently perform price Add Comments Here rollback at the dispensers Verifone Site Survey Report - Ver 03-15 Page 1 of 8 Site POS and Peripheral Information Present Interfaced to # of Current Software Component Y/N POS? Brand and Model Units Version POS Terminal/Cash Register Sapphire Receipt Printer(ex. TM88, RP310 Scanner PIN Pad (to Verifone POS) Coin Dispenser Uninterruptible Power