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REFER A NEW CAFE
Venue Name
Venue State
Type of business
Decision Maker Name
Best Contact Number
Email
Has the decision maker been advised that someone from JDE/PDO will make contact?
-- Select an option --
Yes
No
Volume of Coffee (in kg) sold weekly
Do you currently own your equipment?
-- Select an option --
Yes
No
Are you currently on a supplier contract?
-- Select an option --
Yes
No
Are you looking to change supplier in the next 3 months?
-- Select an option --
Yes
No
I have been referred by:
I have been referred by:
Name
Email
JDE Account Number
Further detail if required
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I confirm that I have read and accepted the Terms and Conditions &
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. By confirming I also choose to receive regular communications about L'OR, including products, offers and surveys.
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