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:	7/30/2010 3:39:59 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 Energiser Vending Proposal, and you find it acceptable, how soon could you start your business?

Please share any further comments you may have:

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

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Energiser Vending Machine High Energy Vending Mints and Gum

VIEW FREE ENERGISER VENDING BROCHURE AND
GET FREE ENERGY MINTS AND GUM

The highly profitable ENERGISER VENDING PROGRAM has just launched into the US Market. Now is your opportunity to get in on the Ground Floor!

Click on USA Press Release for more details.

Copyright Infringement: All of our marketing materials which include internet, printed show handouts, brochures, and all advertising is copyrighted and owned by Vendmax International Inc. Unauthorized duplication of any of these copyrighted materials will be subject to prosecution to the fullest extent of the law.

Energy Vending Machine Manufacturer
In The Vending Manufacturing Business For Over 20 Years