Vending Machine Request

Each question should be researched and answered to the best of your ability.

1. Vending Machine Type?

Beverage

2. What is the requested location (actual building and location within the building)?

3. Where are the closest existing beverage machines to that location?

4. Is the proposed area in a 'fire rated corridor'?

Yes    No

5. Is there an electrical outlet near the requested location?

Yes    No

6. Has approval been given to utilize the electrical outlet and bear responsibility for the associated energy costs?

Yes    No

Approver Last Name:       Approver First Name:       Approver Title:       Approver Phone:   XXX-XXX-XXXX          Approver Email:

7. How close is the nearest eating facility that serves beverages?

8. What are the hours of the food facility's operation?

9. Are there any departments or offices selling drinks to employees as a service near this location?

Yes    No

10. Approximate number of staff, faculty and students within the building or service area?

11. Approximate number of people utilizing the building during 'off hours'?

Additional Comments          NOTE: < > \ ' - characters not allowed

Department:       Contact Last Name:     Contact First Name:     Contact Phone:    XXX-XXX-XXXX        Contact Email: