ATM Request Form
Fill out this form if you would like to host a CoinFlip Bitcoin ATM at your location!

CoinFlip is the largest bitcoin ATM operator in the world, with the lowest fees and 24/7 customer service. By hosting an ATM, you are not only providing an additional service to your store but also earning additional income.

CoinFlip handles all services that are related to the ATM, including customer service, cash collections, and any software-related management.

If you are a store that is open until at least 9 PM, please fill out this form and we will respond within 24 hours!
Name of Store *
Address of Store *
Please be sure to include city, state, and zip code!
Hours of operation for Store *
format: Day - day: time am - time pm, 24/7 if always open. Stores must remain open until 9PM to be eligible.
Type of Store *
Name of Store Owner or Point of Contact *
Phone number / Email for Point of Contact *
Do you have multiple locations? *
How did you hear about CoinFlip Bitcoin ATMs? *
If you heard about CoinFlip Bitcoin ATMs through a Sales Respresentative, what was their name? If this does not apply to you, type N/A. *
Additional Information
Put down anything you feel CoinFlip should know about your store that isn't listed above!
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