ATM Request Form
Fill out this form if you would like to host a CoinFlip Bitcoin ATM at your location!
CoinFlip requires this form be filled out by the owner and / or operator of the 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.
For any store that is not open until at least 9 PM, we apologize but CoinFlip does not currently host in stores with hours that don't meet this requirement and will not process the request!
* Required
Name of Store
*
Your answer
Are you the owner / operator of above store?
*
Yes
No
Next
Never submit passwords through Google Forms.
This form was created inside of GPD Holdings, LLC.
Report Abuse
Forms
