FixVend

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Fix Vend
Service
Requests
Submit Request
form below

Vendor Form

First Name*
Last Name
Email*
Person for follow-up if different
Location Name*
Location Number
Country*
Address*
Phone*
Province / Territory*
City / Ville / Community*
Postal Code*
City*
State*
Zip Code*
Machine Name or Type*
e.g. Soda, Snack, Crane/Claw machine, Video Game Name, Bulk Vending, ATM, etc.
Repair Needed*
i.e. Out of Stock, won't take money, power out.