Vending Proposal | Vending Machine Manufacturer of Supersized and Mini Gumball Vending Machines

Vendmax International Inc.

Request for Vending Proposal

Be assured that the following information will be held in strict confidence and its sole purpose is to assist us in creating your Vending Proposal.

This form does not obligate either party in any manner.

Date:	9/6/2010 5:20:38 PM
Name:
Address:
City:
State/Province:
Zip/Postal:
Country:
Business Phone:
Home Phone:
Cell Phone:
Best time to contact you:
Fax:
E-mail:
Age:
Marital Status:
Home:

Occupation:
Monthly Salary:
Years Employed:
Approximate Gross annual Household Income:
Are you eventually looking for a complete career change?
Who would run your business?
Amount available to invest:
Are you interested in our:
Do you plan to expand this business?

If after reviewing our Emperor Deluxe Vending Proposal, and you find it acceptable, how soon could you start your business?

Location Preferences: (By geographic area / city suburb / town-city)

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