Vendor Form

Apply today and become our vendor to operate our app in your country or city!

Name of Entity

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Business Registration Number

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Registration Country

VAT Registration Number

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Beneficial owner/Director

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Number of shareholders

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Physical Address

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Email Account

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Website (Optional)

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Vending Location

Address

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City

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State

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Postal Code

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Country

Planned date of Activation

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Contract Duration Required

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