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  <div>
      <div class="layout layout--onecol">
    <div  class="layout__region layout__region--content">
      <div>
  
    
      
            <div><h2>Request a vending machine</h2><p>Looking to add a vending machine to your location? Complete the form below, and we’ll be in touch about how we can help you and the process involved. It can take a few days to a few weeks depending on availability of machines and your needs.</p><p>&nbsp;</p></div>
      
  </div>
<div>
  
    
      <form class="webform-submission-form webform-submission-add-form webform-submission-vending-machine-request-form webform-submission-vending-machine-request-add-form webform-submission-vending-machine-request-node-13-form webform-submission-vending-machine-request-node-13-add-form js-webform-details-toggle webform-details-toggle" data-drupal-selector="webform-submission-vending-machine-request-node-13-add-form" action="form_action_p_pvdeGsVG5zNF_XLGPTvYSKCf43t8qZYSwcfZl2uzM" method="post" id="webform-submission-vending-machine-request-node-13-add-form" accept-charset="UTF-8">
  
  <div class="js-form-item form-item js-form-type-textfield form-item-business-name js-form-item-business-name">
      <label for="edit-business-name" class="js-form-required form-required">Business Name</label>
        <input data-drupal-selector="edit-business-name" data-msg-required="Business Name field is required." data-msg-maxlength="Business Name field has a maximum length of 255." type="text" id="edit-business-name" name="business_name" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true" />

        </div>
<div class="js-form-item form-item js-form-type-textfield form-item-contact-name js-form-item-contact-name">
      <label for="edit-contact-name" class="js-form-required form-required">Contact Name</label>
        <input data-drupal-selector="edit-contact-name" data-msg-required="Contact Name field is required." data-msg-maxlength="Contact Name field has a maximum length of 255." type="text" id="edit-contact-name" name="contact_name" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true" />

        </div>
<div class="js-form-item form-item js-form-type-email form-item-contact-email js-form-item-contact-email">
      <label for="edit-contact-email" class="js-form-required form-required">Contact Email</label>
        <input data-drupal-selector="edit-contact-email" data-msg-email="Contact Email does not contain a valid email." data-msg-required="Contact Email field is required." data-msg-maxlength="Contact Email field has a maximum length of 254." type="email" id="edit-contact-email" name="contact_email" value="" size="60" maxlength="254" class="form-email required" required="required" aria-required="true" />

        </div>
<div class="js-form-item form-item js-form-type-tel form-item-phone-number js-form-item-phone-number">
      <label for="edit-phone-number" class="js-form-required form-required">Phone Number</label>
        <input data-drupal-selector="edit-phone-number" data-msg-required="Phone Number field is required." data-msg-maxlength="Phone Number field has a maximum length of 128." type="tel" id="edit-phone-number" name="phone_number" value="" size="30" maxlength="128" class="form-tel required" required="required" aria-required="true" />

        </div>
<div class="js-form-item form-item js-form-type-textfield form-item-location-address js-form-item-location-address">
      <label for="edit-location-address" class="js-form-required form-required">Location Address</label>
        <input data-drupal-selector="edit-location-address" data-msg-required="Location Address field is required." data-msg-maxlength="Location Address field has a maximum length of 255." type="text" id="edit-location-address" name="location_address" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true" />

        </div>
<fieldset data-drupal-selector="edit-type-s-of-machines-wanted" class="js-webform-select-other webform-select-other webform-select-other--wrapper fieldgroup form-composite webform-composite-visible-title js-webform-type-webform-select-other webform-type-webform-select-other js-form-item form-item js-form-wrapper form-wrapper" id="edit-type-s-of-machines-wanted">
      <legend>
    <span class="fieldset-legend">Type(s) of machines wanted</span>
  </legend>
  <div class="fieldset-wrapper">
                <div class="js-form-item form-item js-form-type-select form-item-type-s-of-machines-wanted-select js-form-item-type-s-of-machines-wanted-select form-no-label">
      <label for="edit-type-s-of-machines-wanted-select" class="visually-hidden">Type(s) of machines wanted</label>
        <select data-drupal-selector="edit-type-s-of-machines-wanted-select" multiple="multiple" name="type_s_of_machines_wanted[select][]" id="edit-type-s-of-machines-wanted-select" class="form-select"><option value="snack">Snack Machine</option><option value="beverage">Beverage Machine</option><option value="_other_">Other…</option></select>
        </div>
<div class="js-webform-select-other-input webform-select-other-input js-form-item form-item js-form-type-textfield form-item-type-s-of-machines-wanted-other js-form-item-type-s-of-machines-wanted-other form-no-label">
      <label for="edit-type-s-of-machines-wanted-other" class="visually-hidden">Enter other…</label>
        <input data-drupal-selector="edit-type-s-of-machines-wanted-other" data-msg-maxlength="Enter other… field has a maximum length of 255." type="text" id="edit-type-s-of-machines-wanted-other" name="type_s_of_machines_wanted[other]" value="" size="60" maxlength="255" placeholder="Enter other…" class="form-text" />

        </div>

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</fieldset>
<fieldset data-drupal-selector="edit-foot-traffic" data-msg-required="Estimated Foot Traffic field is required." id="edit-foot-traffic--wrapper" class="radios--wrapper fieldgroup form-composite webform-composite-visible-title required js-webform-type-radios webform-type-radios js-form-item form-item js-form-wrapper form-wrapper">
      <legend id="edit-foot-traffic--wrapper-legend">
    <span class="fieldset-legend js-form-required form-required">Estimated Foot Traffic</span>
  </legend>
  <div class="fieldset-wrapper">
                <div id="edit-foot-traffic" class="js-webform-radios webform-options-display-buttons"><div class="webform-options-display-buttons-wrapper"><div class="js-form-item form-item js-form-type-radio form-item-foot-traffic js-form-item-foot-traffic">
        <input data-drupal-selector="edit-foot-traffic-less-than-50" class="visually-hidden form-radio" type="radio" id="edit-foot-traffic-less-than-50" name="foot_traffic" value="less_than_50" />

        <label class="webform-options-display-buttons-label option" for="edit-foot-traffic-less-than-50">Fewer than 50 people/day</label>
      </div>
</div><div class="webform-options-display-buttons-wrapper"><div class="js-form-item form-item js-form-type-radio form-item-foot-traffic js-form-item-foot-traffic">
        <input data-drupal-selector="edit-foot-traffic-fifty-to-two-hundred" class="visually-hidden form-radio" type="radio" id="edit-foot-traffic-fifty-to-two-hundred" name="foot_traffic" value="fifty_to_two_hundred" />

        <label class="webform-options-display-buttons-label option" for="edit-foot-traffic-fifty-to-two-hundred">50–200 people/day</label>
      </div>
</div><div class="webform-options-display-buttons-wrapper"><div class="js-form-item form-item js-form-type-radio form-item-foot-traffic js-form-item-foot-traffic">
        <input data-drupal-selector="edit-foot-traffic-more-than-two-hundred" class="visually-hidden form-radio" type="radio" id="edit-foot-traffic-more-than-two-hundred" name="foot_traffic" value="more_than_two_hundred" />

        <label class="webform-options-display-buttons-label option" for="edit-foot-traffic-more-than-two-hundred">200+ people/day</label>
      </div>
</div></div>

          </div>
</fieldset>
<fieldset data-drupal-selector="edit-recaptcha" id="edit-recaptcha--wrapper" class="recaptcha--wrapper fieldgroup form-composite webform-composite-hidden-title js-webform-type-recaptcha webform-type-recaptcha js-form-item form-item js-form-wrapper form-wrapper">
      <legend>
    <span class="visually-hidden fieldset-legend">Recaptcha</span>
  </legend>
  <div class="fieldset-wrapper">
                <input data-drupal-selector="edit-recaptcha-token" type="hidden" name="recaptcha[token]" value="" />
<div data-drupal-selector="edit-recaptcha-error" id="edit-recaptcha-error" class="js-form-wrapper form-wrapper"><div id="edit-recaptcha-error-recaptcha-error-message" class="js-form-item form-item js-form-type-item form-item-recaptcha-error-recaptcha-error-message js-form-item-recaptcha-error-recaptcha-error-message form-no-label">
        
        </div>
</div>

          </div>
</fieldset>
<input data-drupal-selector="form-ovyglhdp1rlxrkpoq9q9qwilh5wleyg2owwmo7u7dji" type="hidden" name="form_build_id" value="form-OvYglHDP1RLxRkpoQ9q9QWILh5wleYg2owwMO7U7DjI" />
<input data-drupal-selector="edit-webform-submission-vending-machine-request-node-13-add-form" type="hidden" name="form_id" value="webform_submission_vending_machine_request_node_13_add_form" />
<div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions"><input class="webform-button--submit button button--primary js-form-submit form-submit" data-drupal-selector="edit-submit" type="submit" id="edit-submit" name="op" value="Submit" />

</div>


  
</form>

  </div>

    </div>
  </div>

  </div>

</article>
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<span>Request Vending Machine</span>
";}}