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Pepsi Sales Information

Branch*
Format*

Customer & Order Information

Please fill out all the required fields pertaining to the customer.
MM slash DD slash YYYY
Primary Contact Name*
Address
Sales Type Code*
Sales Reason Code*

Select Equipment

Specialty Graphics Needed?*

Vendor Details

Single Vendor

Selection Columns

Multi Vendor

6 Selections (complete the planogram for 10 columns)

9 Selections (complete the planogram for 10 or 12 columns)

10 Selections (complete the planogram for 12 columns)

12 Selections (complete the planogram for 12 columns)

Fountain

Drain Within Six Feet?*
Water Access?*
120 VAC Within 3 Feet?*
Floor Chase?*
Overhead Chase?*
Drop files here or
Max. file size: 256 MB.

    Non-Fountain Items

    120 VAC Within 5 Feet?*
    Is There an Elevator?*
    Are Casters Required?*
    Are there stairs between the entrance and the machine location?*
    Drop files here or
    Max. file size: 256 MB.

      Additional Items?

      Do you have additional items to add to this order?*

      Select Equipment

      Specialty Graphics Needed?*

      Vendor Details

      Single Vendor

      Multi Vendor

      6 Selections (complete the planogram for 10 columns)

      9 Selections (complete the planogram for 10 or 12 columns)

      10 Selections (complete the planogram for 12 columns)

      12 Selections (complete the planogram for 12 columns)

      Fountain

      Drain Within Six Feet?*
      Water Access?*
      120 VAC Within 3 Feet?*
      Floor Chase?*
      Overhead Chase?*
      Drop files here or
      Max. file size: 256 MB.

        Non-Fountain Items

        120 VAC Within 5 Feet?*
        Is There an Elevator?*
        Are Casters Required?*
        Are there stairs between the entrance and the machine location?*
        Drop files here or
        Max. file size: 256 MB.

          Additional Items?

          Do you have a third item to add to this order?*

          Select Equipment

          Specialty Graphics Needed?*

          Vendor Details

          Single Vendor

          Multi Vendor

          6 Selections (complete the planogram for 10 columns)

          9 Selections (complete the planogram for 10 or 12 columns)

          10 Selections (complete the planogram for 12 columns)

          12 Selections (complete the planogram for 12 columns)

          Fountain

          Drain Within Six Feet?*
          Water Access?*
          120 VAC Within 3 Feet?*
          Floor Chase?*
          Overhead Chase?*
          Drop files here or
          Max. file size: 256 MB.

            Non-Fountain Items

            120 VAC Within 5 Feet?*
            Is There an Elevator?*
            Are Casters Required?*
            Are there stairs between the entrance and the machine location?*
            Drop files here or
            Max. file size: 256 MB.

              Additional Items?

              Do you have a Fourth item to add to this order?*

              Select Equipment

              Specialty Graphics Needed?*

              Vendor Details

              Single Vendor

              Multi Vendor

              6 Selections (complete the planogram for 10 columns)

              9 Selections (complete the planogram for 10 or 12 columns)

              10 Selections (complete the planogram for 12 columns)

              12 Selections (complete the planogram for 12 columns)

              Fountain

              Drain Within Six Feet?*
              Water Access?*
              120 VAC Within 3 Feet?*
              Floor Chase?*
              Overhead Chase?*
              Drop files here or
              Max. file size: 256 MB.

                Non-Fountain Items

                120 VAC Within 5 Feet?*
                Is There an Elevator?*
                Are Casters Required?*
                Are there stairs between the entrance and the machine location?*
                Drop files here or
                Max. file size: 256 MB.

                  Additional Items?

                  Do you have a fifth item to add to this order?*

                  Select Equipment

                  Specialty Graphics Needed?*

                  Vendor Details

                  Single Vendor

                  Multi Vendor

                  6 Selections (complete the planogram for 10 columns)

                  9 Selections (complete the planogram for 10 or 12 columns)

                  10 Selections (complete the planogram for 12 columns)

                  12 Selections (complete the planogram for 12 columns)

                  Fountain

                  Drain Within Six Feet?*
                  Water Access?*
                  120 VAC Within 3 Feet?*
                  Floor Chase?*
                  Overhead Chase?*
                  Drop files here or
                  Max. file size: 256 MB.

                    Non-Fountain Items

                    120 VAC Within 5 Feet?*
                    Is There an Elevator?*
                    Are Casters Required?*
                    Are there stairs between the entrance and the machine location?*
                    Drop files here or
                    Max. file size: 256 MB.

                      Delivery Info

                      MM slash DD slash YYYY
                      Delivery Window*
                      Delivery Day
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