Wise ATMs Business ATM Application
Business Information
Business Name
Website
Business Facebook
*If Applicable
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Information
Owner Name
First Name
Last Name
Phone
Please enter a valid phone number.
Email
example@example.com
ATM Information
Type Of Business
Are you a Cash only or Cash Reliant Business?
Cash Only
Cash Reliant
Neither
Would you consider Cash only implementations with games in your establishment at no cost with an added revenue share?
Yes
No
I want to hear more
Do you have an existing ATM in your business
Yes
No
If Yes why the change?
Runs out of Money (Error 20002)
Loses Internet Connection frequently (Error D1500)
No Revenue Share
Lack of Support
All of the Above
How many locations
1
2
3
4
5+
By when would you like to have the ATM(s) installed
-
Month
-
Day
Year
Date
Submit
Should be Empty: