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Location Survey - Columbus Vending, LLC
Complete this form to determine if your location qualifies for a vending machine to be placed and serviced by us - at no cost to you.
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* Indicates required question
Company:
Your answer
Address of machine location?
*
Your answer
Primary Contact:
Your answer
Title:
Your answer
Phone:
Your answer
Email:
Your answer
Secondary Contact:
Your answer
Is it Ok to Solicit:
Yes
No
N/A
Are there current vending machines on site:
*
Yes
No
If Yes, what are the current vending options:
*
Soda
Snack
Coffee
Cold food
None
Other:
How many employees on site?
*
Your answer
How many shifts of employees:
1
2
3
Other:
Clear selection
What hours is business currently open:
Your answer
Others with Access (outside public):
Yes
No
Other:
Clear selection
Current Vending Options - Are Coke and Pepsi Products Offered:
Coke
Pepsi
N/A
Other:
Current Vending Options - Do machines accept bills:
Yes
No
N/A
Other:
Current Vending Options - Do machines accept credit cards:
Yes
No
N/A
Other:
Current Vending Options - Number of Service Calls per Week:
Your answer
Current Vending Options - Is there a contract with current vendor:
No
Yes
Other:
Clear selection
If yes, can Vendor be Replaced:
Your answer
Will Decision Maker Consider Changing Vending Operators:
Your answer
Desired Improvements:
Your answer
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