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Vending
Machine
Request

Request for Installation, Removal, or Relocation of a Vending Machine

To request the installation, removal, or relocation of a vending machine, please complete the form below, then click submit request. All vending placement requests must be reviewed and approved by Procurement and Business Services; the Department of Environmental Safety, Sustainability & Risk; and the applicable vendor. Following review, vending placement requestors will be informed of placement decisions and, if applicable, informed of the scheduled date for installation, removal, or relocation.

Requestor Name:

Department:

Phone: Email:

PEPSI

Type of Request:

Product Type:
     20oz. Pepsi® Soda and Water Products
     Gatorade® Products
     SoBe Life Water®

Current Location (to be filled in for Removals and Relocations)

Building Name:

Building Number: Room Number:

Requested Location (to be filled in for Installations and Relocations)

Building Name:

Building Number: Room Number:

Outlet Available: Yes No

Location Approved by Department of Environmetal Safety: Yes No

Comments:

Canteen Vending

Type of Request:

Product Type:
     Snack Food
     Coffee
     Cold Food (Sandwich)
     Frozen Food (Ice Cream)

Current Location (to be filled in for Removals and Relocations)

Building Name:

Building Number: Room Number:

Requested Location (to be filled in for Installations and Relocations)

Building Name:

Building Number: Room Number:

Electrical Outlet Available: Yes No

Location Approved by Department of Environmetal Safety: Yes No

Comments:

Procurement and Business Services 301.405.9200
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