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1. Please complete the following:

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2. Do you have BEVERAGE vending at your location?

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3. How many BEVERAGE vending machines at your location?

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4. What is the price of Soda?

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5. Who services your BEVERAGE vending machine?

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6. How is your current level of service from your BEVERAGE vending provider? Rate 1-10 with 10 being Excellent.

  1 -Terrible 2 3 4 5 6 7 8 9 10 -Excellent N/A
Rating

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7. Do you receive BEVERAGE vending commission?

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8. If yes, what was the amount of the last BEVERAGE vending commission check?

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9. If yes, how often do you receive BEVERAGE vending commission checks?

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10. Are you under a contract with your current BEVERAGE vending provider? If you are under contract when does your current BEVERAGE vending contract expire?

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11. Do you have SNACK vending at your location?

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12. How many SNACK vending machines at your location?

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13. Who services your SNACK vending machine?

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14. How is your current level of service from your SNACK vending provider? Rate 1-10 with 10 being Excellent.

  1 -Terrible 2 3 4 5 6 7 8 9 10 -Excellent N/A
Rating

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15. Do you receive SNACK vending commission?

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16. If yes, what was the amount of the last SNACK vending commission check?

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17. If yes, how often do you receive SNACK vending commission checks?

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18. Are you under a contract with your current SNACK vending provider? If you are under contract when does your current SNACK vending contract expire?

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19. Any additional comments regarding your BEVERAGE or SNACK vending provider:

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