redbox+ Dumpsters Setup Form

    Please complete the form below to the best of your ability so we can launch our services as quickly and efficiently as possible. The more info you can provide, the better! Forms that have incomplete or incorrect information will be moved to the bottom of our startup queue & may result in a delayed start date.





    Internal Contact Info

    This contact information will be used for internal communication between you & Kite Media; it will not be posted publicly online, unless otherwise noted.


    Business Contact Info

    This is the contact information that customers will use to communicate with your business and will be publicly visible online. This information should be consistent with the contact information displayed on your website.


    Business Address







    LICENSED TERRITORY



    ADDITIONAL INFO

    Just a few more details...






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