City Launcher Intake Form

Complete all required fields so we can get your machines ordered, branded, and shipped.

Personal Information

Full Legal Name*

Email Address*

Phone Number*

Home Address*

Confirmed Locations*

Delivery & Shipping

Machine Delivery Address*

Address type*

Residential

Commercial / Warehouse

Other

Delivery Contact (Name & phone)*

Branding & Sales Materials

Preferred Polo Size for Launch Kit*

We send a starter kit with Pod Plug merch

Launch Timeline & Availability

Target launch date*

Best Times for Onboarding Calls*

Anything else we should know?*

You're all set!

We've received your application. Our team will review it and reach out to you shortly.