Register your interest to buy or rent an ATM
Please note that this registration form is only for Australian customers.
* Required
Email address
*
Your email
Name and surname
*
Your answer
What type of business do you own or manage?
*
Hotel/pub
Nightclub
Supermarket
Convenience store
Petrol station
Shopping centre
Event organiser
Sport club/venue
Community club/centre
Other:
How long have you owned/managed your business?
*
Choose
Under 1 year
Between 1 and 5 years
Between 5 and 10 years
Over 10 years
I still have not started my business
Are you planning to cash your ATM?
*
Yes
No
Maybe
Looking for someone else to cash my ATM
How many customers do you have in your business each day?
*
Under 50
Between 50 and 100
Between 100 and 300
Between 300 and 500
Over 500
I have not started my business yet
Your phone number
*
Your answer
Have you had an ATM in your business before?
*
Yes
No
Required
Australian postcode of your proposed ATM location
*
Your answer
Mandrake.ATM
Visit www.mandrakeatm.online.
Contact us at sales@mandrakeatm.online.
Submit
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
Forms