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Name*
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Organisation*
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| Address* |
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| Suburb*
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| Postcode*
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Phone* |
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| Mobile*
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| Email*
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| * Required
fields |
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Do you have existing vending machine(s) on your
premises?
Yes
No |
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| I am
interested in vending machines which can supply: |
Cold
drinks
Hot
drinks |
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Snacks
Healthy
products |
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Combo
(food & drinks) |
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Fresh food (eg
sandwiches) |
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PPE
products
(personal protective equipment) |
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| The vending
machine(s) will be sited in an |
Office |
| |
Factory |
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Shopping Centre |
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Pubs and Clubs |
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Mining and other industrial work places |
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Prison or detention centre |
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Other please specify below |
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| Estimated
number of people on the premises |
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| I am interested
in |
Coin/Note operated vending machines |
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Cashless/Smartcards vending machines |
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Questions or Comments |
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