Vending Application Form

Vending Application Form

Location Application Machine
Full Name*

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

Street Address

Street Address Line 2

CityState / Province

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

MonthDayYear
Commission Details

(if applicable)
Bank:
Account name:
BSB:
Account Number:
I would like to have the selected number of machines installed at our establishment on the following date and time.
MonthDayYear
Date
Time*

:HourMinutesAM/PM Option
Is there easy access to the vending location?*

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

YesNo
If Yes, please provide details
Is there a power point next to the location where the vending machine is being installed?*

YesNo
If the answer to the above question is no then please arrange for an electrician to install a standard power point behind the vending machine prior to the proposed date of installation. As soon as the power point has been installed we can then confirm the installation date.
Is there security access to the machines location and/or a security key/pass/fob required for Testapower staff to access machine for restocking and/or maintenance (IF THE ANSWER IS YES PLEASE ARRANGE FOR THIS TO BE MADE AVAILABLE TO TESTAPOWER STAFF ON THE DATE OF INSTALLATION).*

YesNo
Where will the machine be located/ installed? Please provide a detailed description of the location where the machine is to be installed.
Please provide pictures of where the machines will be located/installed.
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Please provide any additional information here.
Terms:
1. The owner/manager acknowledges that the vending machine is the property of Testapower.
2. Should you wish to have your vending machine removed or relocated for any reason please send us a email with your request.
3. Testapower have liability insurance, however you will be required to obtain 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 automatically continue for a further 12 months if Testapower, Travelling Essentials or Techonthego are not notified by you within 8 weeks of this 12 month agreement ending.
7. Testapower, Travelling Essentials or 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 be charged.
9. All machines are covered by a standard 20 million dollar liability insurance policy for each location.
10. Fixed monthly rents are negotiable.
11. On behalf of the company named in this agreement I agree to these terms and conditions.
Signature
Should be Empty:

Vending Application Form

Commission Details

Terms: