INTEREST FORM
Full Name
*
First Name
Last Name
Email
*
Contact Number
*
Your Role
*
Owner / Director
Manager
Marketing
Finance
Customer Relations
Business Development
Franchisee
Other
STORE DETAILS
Store Name
*
Store Type
*
Retail - Small Business
Fast Food / Cafe
Restaurant
Bakery
Takeaway
Grocery Store
Supermarket
Florist
Gift Store
Speciality Store
Pharmacy
Liquor Store
Retail Stores - SME
Retailer - Large Enterprise
E-Commerce
Other
What products do you offer?
Please briefly describe your business so we can understand your product.
Store Address or Website
*
ABN
Number of store locations in Australia
*
1
2 - 5
6 - 10
10 - 20
20 +
Online Only
Estimated number of daily delivery orders
*
Either per store location or across all locations
Expected delivery radius (Select all that apply)
*
0 - 3 KM
4 - 6 KM
7 - 9 KM
10+ KM
Other
Do you currently deliver your products?
*
No
Yes, we have our own drivers
Yes, we use third party courier service
Yes, we use Uber, DoorDash or Menulog
Other
Do you have any requirements or expectations from your delivery service provider?
SUBMIT
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