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ATM Qualification Form

Client Information

  • Must be U.S. based


  • If you have no location type "N/A".

Project Overview

What service are you interested in?
What category best fits the type of business you run?
Is your business cash only or do you accept card payments?
Yes
No
Is your location high traffic? (50+ daily visitors)
Yes
No
Not sure

Ownership & Revenue Questions

Do you want to fully own the ATM and keep 100% of the profits?
Yes – I want to own it
No – I’d prefer a free placement and split profits
Not sure – Need more info
Are you comfortable refilling cash in the machine regularly?
Yes – I’ll do it myself
No – I need someone else to handle that
Maybe – depends on training/support
What’s your ideal monthly income from your ATM (realistic goal)?
$100–$300
$300–$700
$700+
I want to build a full ATM route
What’s your ideal monthly income from your ATM (realistic goal)?
$100–$300
$300–$700
$700+
I want to build a full ATM route
Do you have a startup budget set aside?
Yes – under $2,000
Yes – $2,000–$5,000
Yes – $5,000+
No – I need funding or options

Support & Next Steps

Do you need training or help starting your ATM business?
Yes – I need full support
No – I’ve done this before
Are you interested in:
What’s your preferred timeline to get started?
ASAP (within 7 days)
Within 2–3 weeks
Within 1–2 months
Just exploring right now

Final Notes

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