Name *

First Name

Last Name

Phone *

(###)

###

####

Type of location *

Residential Building (Apartment/condo)

School (High School, College, University)

Gym/Fitness Center

Hospital/Healthcare Facility

Airport/Transit Hub

Corporate Office

Other

Is this a newly constructed or existing location? *

New Construction (Not yet open)

Existing Property

Are you the decision-maker for this opportunity? *

Yes

No

Why do you want The Box at your location? *

Enhance resident/student experience

Offer healthier food & drink options

Provide a modern amenity

Replace existing vending machines

Other

Is there currently a vending machine or food service at this location? *

Yes

No

Is there an available power outlet near the preferred location? *

Yes

No

Is there sufficient space for The Box? *

Yes

No

Would you like to schedule a walkthrough to assess the space?

Yes

No