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Onlinevgm Form
System.
ROUTE OPERATOR INFORMATION:
NAME
CONTACT NAME
ACCOUNT NUMBER (000000-XXX-MDR)
E-MAIL ADDRESS OF CONTACT
PHONE NUMBER
FEDERAL TAX ID NUMBER
LOCATION INFORMATION: (A separate form must be provided for each of your locations; however you will attach one spreadsheet.)
NAME
CONTACT NAME
ACCOUNT NUMBER (000000-XXX-GOA)
E-MAIL ADDRESS OF CONTACT
PHONE NUMBER
FEDERAL TAX ID NUMBER
MACHINE INFORMATION: Please enter applicable VGM information on the spreadsheet provided by
the...
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