Foodtastic x Auphan POS Participation
Brand / Marque
*
Please Select
Noodlebox
Quesada
Type of Setup
*
NSO (New Store Opening)
POS Upgrade
Store Number / Numéro de Magasin
Quebec Location / Localisation au Québec
*
Yes
No
Mev Code / Code Mev
*
File Number / Numéro de Fichier
*
QST
*
GST
*
Target Date of Opening
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Please provide your target installation date. While we make every effort to meet this timeline, the actual date depends on the onboarding timeline and is subject to change.
Target Date of Install
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Please provide your target installation date. While we make every effort to meet this timeline, the actual date depends on the onboarding timeline and is subject to change.
Store/Contact Information
Contact Name
*
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Contact Email Address
*
example@example.com
Store Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Store Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Store Email Address
example@example.com
Shipping Address
*
Same as Store Address
Different Address
Shipping Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Should be Empty: