Corporate Kiosk Connections offers an on-line Vendor Day Scheduling Service that connects Specialty Retail Vendors and Corporations to provide retail shopping on-site at the corporate premises. Corporate Kiosk Connections offers an on-line Vendor Day Scheduling Service that connects Specialty Retail Vendors and Corporations to provide retail shopping on-site at the corporate premises.
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Connecting Specialty Retail Vendors and Corporations
Quality Standards for Quality Products and Services

MEMBERSHIP APPLICATION - Company and Contact Info

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Provide Company Information
COMPANY INFORMATION
Company Name*:  
Address Line 1*:
Address Line 2:
City*:
State*:
Zip*:
Website Address:
Do you have Business
Liability Insurance?*:		   Yes No
If you have already spoken with a Corp Kiosks representative, please enter your 3 digit code here:
  How did you hear about us?
If Another Vendor or Participating Corporation,
then who?
COMPANY DESCRIPTION

If you were advertising your company, product or services, how would you describe them? (*Required) (This description will be used to promote your products/services to the Corporations and their employees.)
CONTACT INFORMATION
Contact Name*:
Phone*: (format xxx-xxx-xxxx)
Cell Phone*: (format xxx-xxx-xxxx)
If you don’t have a cell phone please reenter your contact phone here.
Phone # customers should
use to reach you*: 		(format xxx-xxx-xxxx)
Email Address*:
I have read and have accepted the Standards of Etiquette
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Corporate Kiosk Connections
Corporate Kiosk ConnectionsP.O. Box 541135Waltham, MA 02454-1135
phone: 781.254.2320fax: 781.209.0543email: info@corpkiosks.com
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