JUUCE Venue Qualification Form

JUUCE Venue Qualification Form

Complete this application to determine if a JUUCE charging station is the right fit for your venue.
Currently installing in: California's Central Valley • Tri-Valley • Bay Area • Sacramento • Gold Country. Is your business located within any of these regions?
Contact Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Business Name
Business Address

Street Address

Street Address Line 2
CityStateZip Code
Are you the decision maker for this venue?
Owner/GM's Name

First NameLast Name
Owner/GM's Email
example@example.com
Owner/GM's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What best describes your venue?

Other
What is the typical number of customers you serve in a day?
How long do your customers typically spend at your venue?
What's your biggest challenge with guest experience right now?
Please sign up for your free station here.
After submission, we’ll schedule a quick call to discuss placement of your JUUCE Station, onboard you to our network, then send a placement agreement for signature.

Delivery timeline of JUUCE Charging station is based on availability.
Should be Empty: