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Registration Form
First Name
*
Last Name
*
Email
*
Mobile
*
Password
*
Confirm
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Station Name
*
City
*
Select City
Alexandria
Ismailia
Aswan
Assiut
Luxor
Red sea
Beheira
Beni Suef
Port Said
South Sinai
Giza
Dakahlia
Damietta
Sohag
Suez
Sharqia
South Sinai
Gharbia
Faiyum
Cairo
Qalyubia
Qena
Kafr El Shiekh
Matrouh
Monufia
Minya
New Valley
District
*
Select District
Street
*
Closing Time
Select Time
00:00AM
00:30AM
01:00AM
01:30AM
02:00AM
02:30AM
03:00AM
03:30AM
04:00AM
04:30AM
05:00AM
05:30AM
06:00AM
06:30AM
07:00AM
07:30AM
08:00AM
08:30AM
09:00AM
09:30AM
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10:30AM
11:00AM
11:30AM
12:00PM
12:30PM
13:00PM
13:30PM
14:00PM
14:30PM
15:00PM
15:30PM
16:00PM
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18:00PM
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19:00PM
19:30PM
20:00PM
20:30PM
21:00PM
21:30PM
22:00PM
22:30PM
23:00PM
23:30PM
Pipes Type
*
Select Pumps Type
steel pipes (SP)
UPP
Notes
A.T.G
*
Avaliable
Not Avaliable
Tanks
x
Select Product
95
92
80
ADO
sadsa so
-
Select Type
single skin (SS)
Double skin (DS)
Select Size
22,500 KL
45,000 KL
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Pumps
x
Select Type
suction pump (SP)
Pressure pump (PP)
Select Manufacturer
Wayne
Gilbarco
Tokheim
Sampi
Others
Select Hoses Number
6 Hoses
4 Hoses
2 Hoses
1 Hose
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