Inquiry Sheet

Please complete the interest sheet provided below to facilitate our efforts in enhancing our service tailored to your preferences.

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Business Name *
Contact Person *
Phone Number *
Email Address *
Address (include city, state, and zip code) *
Type of Establishment *
Required
Number of Potential Locations for Vending Machine(s) *
Foot Traffic (estimate the # of visitors/staff you receive daily) *
Operating Hours (Monday-Friday) *
Operating Hours (Saturday and Sunday) *
Demographics of visitors/staff *
Required
Gender *
Required
Vending Machine Preferences *
Required
Timeline *
When are you looking to implement new amenities or services?
Space Availability (must check off both to be considered) *
Required
Access to Electrical Outlets? *
How did you hear about us? *
Required
Consent/Opt-In for Communication *
Would you like to receive updates, promotional offers, and information on our services?
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