redbox+ Dumpsters Setup Form

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

    Please note, this form needs to be filled out in one sitting; the form will time out after several hours so make sure you set aside enough time to finish once you get started. It should take 10-15 minutes at most to complete.

    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, Facebook, Google Business Profile and elsewhere online - please double-check for consistency before submitting.

    We CANNOT use PO Boxes, virtual offices, UPS stores, or other illegitimate business addresses. We CAN typically use a lot yard if you are able to receive mail at that address. Home addresses can be used and will be hidden from public view online.

    Which of the following describes the address provided above? *
    This is a home address, DO NOT display it publicly.This is a commercial address that CAN be displayed publicly.This is a commercial address but it should NOT be displayed publicly.


    LICENSED TERRITORY


    ADDITIONAL INFO

    Just a few more details...






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