Dear valued customer, in order to make the delivery and installation of your vending machines a seamless process, please complete the form below and submit. Use the comments section to include any pertinent information like site orientation, site requirements and site access details and installation.requirements.

Site Analysis

Notify

Area

Agent

Site Name

Address

Address Line 1

Address Line 2

City

Province

Postal Code

Contact Person

First Name

Last Name

Position

Date of First Contact

Date of Site Visit

Site Contact Number

Main Business of Site

How Many Permanent Staff Members?

Ratio of admin staff vs production/factory staff?

How many visitors?

Are there any other facilities on the premises that supply similar products?

Yes

Describe it

Where is the closest facility if not on premises?

Where will the machine be placed for maximum exposure?

Are there plug facilities?

Yes

What are the door measurements?

Is there a vending machine currently on site of any type?

Yes

If yes, what type and who operates it?

Has there been a vending machine on site previously?

Yes

If so, what type and why was it removed?

Are there any associated companies that would perhaps be interested in a vending machine?

Hours of Operation

Comments

Sign-off

I hereby acknowledge that this information is provided is true and accurate. I further acknowledge that should additional cost for delivery ie.e stairs, removal of doors requiring additional labour, I will be responsible for the addiotnal cost.

Proudly South African vending since 1996. Fully managed snack, drink, coffee, fresh food and filtered water solutions, nationwide, cashless, zero admin.