Sales and Marketing      Phone: (804) 270-5501      sales@smsgroup.com   Customer Service      Phone: (804) 270-5501      Fax:     (804) 991-7433      support@smsgroup.com   Structured Management      Systems, Inc.      3603 Mayland Court      Richmond, VA 23233-1409      USA      Phone: (804) 270-5501      Fax:     (804) 270-5610      sales@smsgroup.com Please also feel free to complete the contact form below, for either general questions or to reach an SMS Sales Representative. We will get back to you as soon as possible. Thank You! I am/we are interested in: (Please check all appropriate boxes) Home Heat Service C/Store Operations # of Stores 1 - 10 11 - 20 21 - 30 30+ Retail Delivery Wholesale Lubes Card Lock Wet Hose Refinery Electronic Funds Transfer/EFT Please tell us the number of concurrent users that would be using the system: # of Users 1 - 20 21 - 40 41 - 60 61 - 100 101 - 200 200+ Name: Company: Address: City: State: Zip/Postal Code: Country: Email Address: Phone Number: Fax Number: Comments/Questions:

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