Store Owner Information:

First Name *

Last Name *

Corporation Name

How many stores do you own? *

Street Address *

City *

State/Province *

Zip/Postal Code *

Owner Phone Number *

Owner Email Address *

Referred By: 🛈

Store Information:

Store Name *

Store Phone Number *

Store Number *

Street Address *

Store City *

Store State/Province *

Store Zip/Postal Code *

Email Provider *

Email Provider if not Constant Contact

Loyalty/Text Provider *

Text Provider if Other Selected

Marketing Firm *

Configuration Information

Desired Base Package * 🛈

Full Package (shown at 2024 Conference)

No Hardware - Remote Check In Only

Stand/Tablet Only Using POS Printer

Single Tablet/Stand with Single Receipt Printer

Dual Tablet/Stand with Single Receipt Printer

Dual Tablet/Stand with Two Receipt Printers

Include optional Label Printer for Container Receipts? * 🛈

Yes

No

Ethernet Cable Length * 🛈

Include Network Switch? * 🛈

Yes

No

Do you want to utilize the Driver's License scanning feature? * 🛈

Yes

No

Do you want to implement a digital sign to show the buy queue and promotional slides? * 🛈

Yes

No

Television Size *

None	39"
50"

Number of TVs *

Do you need a TV mount? *

Yes

No

Stand Color Choice *

None	Black	Red
Blue

None	150 ft
100 ft	50 ft
25 ft	10 ft
5ft