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Intake form
Help us serve you better
Name
*
Email address
*
What type of service are you interested in?
Please select at least one option.
Vending machine placement
Snack selection
Beverage selection
Maintenance services
Custom vending solutions
What is the location for the vending machine service?
What is your preferred contact method?
Select
Email
Phone
Text message
What is your business type?
Select
Office
School
Gym
Hospital
Retail
What is your estimated budget for vending services?
What is your desired installation timeline?
Select
Immediate
Within a month
Within three months
Flexible
How did you hear about SnackSense?
Select
Social media
Search engine
Referral
Advertisement
Event
Additional questions or comments
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