Registration Form

Please complete this Form to register as a Merchant and receive your login information (username and password).

Merchants are entitled to special benefits and exclusive options - see a list of some on the right!


Your Name


Your Address


Tel:       Fax:  

Email Address:


Please indicate where you will be serving Kool-Mix:

Type of venue/establishment:   Entertainment Cabaret Restaurant Coffeeshop Other 

If other venue, please state:  

To help us come up with more incentives and best service for our Merchants or Vendors (you), do tell us what made you decide on Kool-Mix:

Kool-Mix offers GOOD profit margins on each drink.
Kool-Mix is easy to use - all that's needed is a blender!
Kool-Mix low start-up costs did it - order 1 box to start!
Kool-Mix Merchant Starter Kit helped.
Frozen beverages always sell well!

When do you want to start selling Kool-Mix?

immediately!
as soon as possible
within 30 days
on this date:  

We will contact you within 48 hours.
You will also receive a login username and password to access our "Kool-Mix Club" which features 'up-and-coming events', 'special offers', Kool-Mix merchandise, feedback forum, useful links, etc.

 

Thank you for joining the Kool-Mix Frozen Drinks network!