theSMASHEDpenny Request Form

Request Form

If you have any questions, please fill out the form below. I will contact you as soon as possible.

What type of location? - Check All That Apply

Amusement Park Popular Tourist Destination

Zoo Museum Famous Landmark

Other

What age group do you market toward? - Check All That Apply

Grade School Middle School High School

Young Adult Adult Senior Citizen

Just a few more questions. - Check All That Apply

Do you have a Penny Smashing Machine now?
Yes No Used To

Do you have a gift shop?
Yes No How Many?

Do you have a souvenir stand?
Yes No How Many?

Do you use a barcode scanner at checkout? Yes No

What is your annual attendance?

About how many personalized products do you carry?

Name:

E-Mail:

Location Name:

Your Position:

Address:

City:

State:

Zip Code:

Phone Number:

Message:

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