Vending Application Form

Vending Application Form
Full Name *

First Name Last Name
Company *
ABN: *
Mobile *
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Travelling Essentials Machines
No of machines required
Techonthego Machines
No of machines required
What is the average foot traffic per day ? *
Enquiry date

Month Day Year
Commission Details

(if applicable)
Bank:
Account name:
BSB:
Account Number:
I would like to have a machine installed into our establishment as per the following date and time.
*

Month Day Year
Date
Time *

: Hour Minutes AM/PM Option
Is there easy access to the vending location? *

Yes No
If No, please explain
Are there any stairs? *

Yes No
If Yes, please provide details
Is there a power point next to the location where the vending machine is going? *

Yes No
is there security access to the machines location and a security key/pass/fob is required for staff to access machine to restock at their convenience (IF THE ANSWER IS YES CAN YOU PLEASE MAKE SURE TO ORGANISE THIS KEY TO BE READY ON INSTALLATION DATE) *

Yes No
If answered no to the above question, please organise an electrician to install a standard power point behind the vending machine. As soon as the powerpoint has been installed we can than confirm the installation date.
Where about will the machine be located/ installed please provide a descriptive detail of location/installation of Machine
Please provide pictures of where the machines will be located/installed
Upload Image

Cancel of
Upload Image

Cancel of
Upload Image

Cancel of
Upload Image

Cancel of
Please add any additional information here
Terms:
1. The owner/manager acknowledge that the vending machine is the property of Techonthego/Travelling Essentials or Testapower.
2. For any reason, should you wish to have your vending machine removed, or relocated in the centre please send us a email with your request.
3. Techonthego/Travelling Essentials or Testapower have liability insurance, however you are required to have property insurance in the event of theft or fire.
4. Commissions are paid on the 1st of every month and are calculated by your vending coordinator. (if applicable).
5. Eligibility for commissions are generally based on turnover greater than $1,200 per month. Please see your Vending Coordinator to see what they can do for you.
6. This agreement is for 12 months and will continue to role over for another 12 months if Travelling Essentials/Techonthego or Testapower are not notified within 8 weeks of the 12 month agreement ending.
7. Travelling Essentials/Techonthego can remove the machine at anytime with 7 days notice in writing.
8. If the terms and conditions of this agreement are breached, a $300 relocation fee can occur.
9. All machines have standard 20 million dollar liability insurance for each location.
10. On behalf of the company, I agree to the terms and conditions on this form.
Signature
Should be Empty:

Vending Application Form

Commission Details

Terms: