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For all your vending needs
Main Menu
Our Machines
How It Works
FREE Machines
Contact
FREE Vending Machine Request Form
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Company:
*
Name:
*
First
Last
Email:
*
Email
Confirm Email
Phone Number:
*
Business Address:
*
Suburb:
*
Postcode:
*
Days of Operation:
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Hours of Operation (Weekdays / Weekends):
*
eg: (8am-5pm Mon-Fri) / (Sat 10am-4pm) / (Sunday Closed).
Staff / Contractors / Visitors onsite:
*
eg: (40-100 Staff & Contractors)
Type of Business:
*
Floor Level:
Where the Vending Machine/s is to be placed.
Access for placement of Vending Machine/s onto location: (ground surfaces, stairs/steps or other obstacles)
Is there any uneven ground surfaces, stairs/steps or other obstacles when placing vending machine onto location. Ground Surface Type from Delivery Vehicle to Vending Machine Placement Destination: Gravel/Concrete/Tiles/Carpet. (FOR HEALTH & SAFETY REASONS - ELEVATOR/LIFT ACCESS IS REQUIRED FOR MULTI-LEVEL SITES -- STAIRS ARE NOT ALLOWED).
Vending Machines: Please Select
Drink Machine
Snack Machine
Combo Machine (Single Machine - combination of Drinks & Snacks)
Coffee Machine
If you require a separate Drink Machine & Snack Machine then tick both boxes.
Do you require Healthy Food Options:
Select your Answer
YES
NO
How many Vending Machines do you require:
Do you currently have any existing Vending Machines onsite:
Select your Answer
YES
NO
If there is existing Vending Machines onsite, how many Vending Machines are onsite:
Answer - NO. (If there is no existing Vending Machines onsite).
If there is existing Vending Machines onsite, please provide contact details of the service provider:
Answer - NO. (If there is no existing Vending Machines onsite).
Comment or Message:
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