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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 the Department of Business Services, the Department of Environmental Safety, 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:
    

Custom 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: