Restaurant Name

First Name

Last Name

Phone Number

Email Address

Street Address

City

State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Postal Code

Software Key Number

Do You Currently Use a Third Party Vendor for Above Store Ordering? Yes No

Have You Signed a Data Release With This Third Party Vendor? Yes No

Third Party Vendor to Enroll BiteCheckmateChowlyDoorDash DeliveryDoorDash DriveEzcaterGrubbrGrubHubMarketmanNovadineOLOPaytronixShogoSunday AppTiphausUber EatsOther

What Can NCR Voyix Help You With Today?

Configuration Center (CFC) Version 20 or Higher is Required. List the Restaurant's Current Version

Aloha Point of Sale Version 12.3 or 15.1 is Required. List the Restaurant's Current Version

Aloha Takeout Version 19.x or Higher is Required. List the Restaurant's Current Version

Are You Currently an Aloha Online Ordering Customer? Yes No

Do You Have an Interest in Leveraging NCR's AOO Platform For a Customer Facing Solution or Just For Your 3rd Party Above Store Ordering? Above Store Only Customer Facing

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