Discovery Questionnaire All answers will be kept confidential and are strictly for qualifying purposes only. Contact Information First Name Last Name Email Phone Business Information Company Industry Select Airport Apartment / Condo Building Bar / Club / Pub Barber Shop Bingo Hall Bus / Train Station Terminal Cannabis Dispensary Cigar Shop Casino Drycleaner Farmers Market Gym / Fitness Centre Hair / Beauty Salon Hotel Laundromat Liquor Store Massage Parlor Microbrewery Motel Nail Salon Pawn Shop Pharmacy Restaurant Strip Club Strip Mall / Mall Supplement Store Tattoo Parlor Thrift Store Vape Store Other Address Location Information Average Customers Per Day? 0 - 50 50 - 100 100 - 200 200 - 300 300 - 400 400 - 500 500 + Select Is there an ATM already at location? Yes No Select New Business? Yes No Already Existing Business Select Monthly Sales Less than $10k $10k - $25k $25k - $50k $50k - $75k $75k - $100k $100k - $150k $150k or More Select Send
