Vending Feedback Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.What would you like to report/Request? *— Select Choice —Vending machine feedbackOff vend RequestConfirm stock receipt to machine list section A – Vending machine feedbackPlease rate us for feedback *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Vending machine issue – please select from the list below Choices: *Display not functioning properlySelected product out of stockBadge reader not workingDispensing wrong productCannot dispense productMachine offlineOther (please provide details below)If Other – please describe the issue Description: Only complete this if you selected “Other” above.Please provide your Amazon site name Placeholder: e.g. DTG5 *Please provide the machine number (if available) Required: Off (optional)Selection Number (Optional)Product name (optional)Name *EmailUpload a file Description: Photo of machine, error screen, or product * Drag & Drop Files, Choose Files to Upload Section B – Off Vend (KeepStock) RequestAmazon site name *Product name and size Placeholder: e.g. Impact Gloves, HarnessesProduct quantity in boxesEmployee name *Employee email *Upload a file Description: Photo or screenshot related to the off vend Drag & Drop Files, Choose Files to Upload Section C – Confirm stock receiptAmazon site namePurchase order numberProduct nameReplener NameQuantity in boxesAny Missing BoxesDelivery dateDateTimeDelivery note, POD, or pallet photo * Drag & Drop Files, Choose Files to Upload You can upload up to 3 files. Submit