Vending / Refrigeration Operator Questionnaire
Business Information
Business Name:
*
Contact Person:
*
Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email:
*
example@example.com
Service Area & Coverage
Business Zip Code
*
What areas do you serve? (Select states, provinces, or cities)
*
How far are you willing to travel for a vending location?
*
Vending Services Offered
What types of vending machines do you provide? (Check all that apply)
Snacks
Beverages
Combo Machines (Snacks & Drinks)
Coffee Service
Micro Markets
Healthy Vending
ATMs
Refrigeration
Ice Machines
Specialty Vending
Other
Machine & Inventory Details
Do you provide new or refurbished machines?
New
Refurbished
Both
Do your machines accept cash, card, and mobile payments?
Yes
No
Do you offer touchscreen or smart vending options?
Yes
No
Location Preferences
What types of locations are you interested in? (Check all that apply)
Offices
Apartment Complexes
Hotels
Schools & Universities
Gyms & Fitness Centers
Factories & Warehouses
Hospitals & Medical Facilities
Retail Stores & Malls
Restaurants
Convince Stores
Other
Are you open to profit-sharing agreements with locations? (Yes/No)
Yes
No
Installation & Maintenance
How soon can you install machines at a new location?
Immediately
1-2 weeks
30 days
How often do you restock machines?
Daily
Weekly
Biweekly
Monthly
Do you handle all machine maintenance and repairs?
Yes
No
Next Steps
Would you like to be notified of new location opportunities via email or text? (Select preference)
Email
Text
Both
Submit
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