Pennybandz Pressed Penny Machine Questionnaire

Pennybandz Pressed Penny Machine Questionnaire

We are excited to get your pressed penny machine started. Please complete the form below to make your penny machine a reality!
Name*

First NameLast Name
Please click Submit at the bottom of the form once you have completed the form.
Location Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Location Phone Number*

Area CodePhone Number
Cell Phone Number - only to be used during the design approval process

Area CodePhone Number
Email*
example@example.com
Please select the type of Penny Machine you are interested in getting started (the prices below include ALL building and designing cost). No additional cost for our professional graphic artist to help you create the penny machine of your dreams! Shipping cost TBD:*

Purchase - 4 die hand-cranked INDOOR CABINET penny machine with coin operated mechanism - cost $6500 (coin mechanism can be set at at .51¢, .76¢ or $1.01 - quarters plus the penny)Purchase - 4 die hand-cranked INDOOR CABINET penny machine with electric $1 bill acceptor ONLY and coin hopper that holds 800 pennies (pennies not included) - cost $8000Purchase - 4 die hand-cranked INDOOR CABINET penny machine with NAYAX credit card/Apple Pay/Google Pay reader ONLY and coin hopper that holds 800 pennies (pennies not included) - cost $8000Purchase - 4 die hand-cranked INDOOR CABINET penny machine with NAYAX credit card/Apple Pay/Google Pay reader PLUS $1 bill acceptor and coin hopper that holds 800 pennies (pennies not included) - cost $8500I would like to UPGRADE to an OUTDOOR STYLE CABINET for my above penny machine selected - cost $750Revenue Shared Machine - I have 200,000+ visitors per year to the direct location I plan to have the machine located - No Out of Pocket Cost to YouRevenue Shared Machine - I have fewer than 200,000+ visitors per year to the direct location I plan to have the machine located and would like to see if I can still qualify - No Out of Pocket Cost to You
Here are the 4 Penny Design ideas I would like to have created for my machine.

We just need a basic idea of what you would like and our graphic artist will create the artwork for your approval. Please share a description and also email us at (albert@pennybandz.com) any images or logos that you may have that can help with the design process. If you don't know the designs you want yet, that is OK, we can work together to come up with some fun ideas.
Penny Design #1
Penny Design #2
Penny Design #3
Penny Design #4
Please select a few Penny Machine options.
Custom vinyl wrapped cabinet or traditional wood cabinet finish?*

Custom vinyl wrap over wooden cabinetTraditional wood cabinet - no wrap needed
Please add wheels (casters) to the cabinet base. ***Only recommended if machine will be moved daily. This option is only available for our coin operated machine.*

Yes, please add wheelsNo wheels needed
Please select a date you would like to have your machine by:
I would like the machine to be delivered within 2 to 3 weeks of the date below. The machine build takes 3-4 months to complete once all artwork (penny designs and machine wrap) is approved. To help expedite the artwork approval process, please reply to artwork questions and final artwork approval as soon as possible.

MonthDayYear
Date
Click submit and we will contact you to officially get the process started!

If you are NOT using Adobe Acrobat Reader please save this file and email it to albert@pennybandz.com
We are so excited to help you with your Penny Machine Adventure!

If you have any questions, please contact us directly:

Albert Guerrero 972-989-3867

albert@pennybandz.com

www.pennybandzwholesale.com
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Pennybandz Pressed Penny Machine Questionnaire

Here are the 4 Penny Design ideas I would like to have created for my machine.