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We appreciate your interest in brewing our coffee. Please take a few moments to fill out our survey. A Starbucks territory manager will contact you within 5 business days.
first name
last name
title
email address
company
phone number
extension
-
-
(area code required)
address
(address Line 1)
(address Line 2)
(city)
AB - Alberta
Alabama
Alaska
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BC - British Columbia
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DC
Delaware
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Hawaii
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Louisiana
MB - Manitoba
Maine
Maryland
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Mississippi
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Montana
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New York
North Carolina
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NS - Nova Scotia
ON - Ontario
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
SK - Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Select One
(state or province)
United States of America
Canada
Select One
(country)
(ZIP/postal code)
How many people are in your office?
1-19
20-49
50-99
100-249
250-499
500-999
1000-4999
5000-9999
10000+
Select One
Is the coffee service for your employees and guests complimentary?
Yes
No
Select One
What type of industry is your business?
Aerospace & Defense
Agriculture
Automotive
Banking
Beverages
Business Services
Charitable Organizations
Chemicals
Computer Hardware
Computer Services & Software
Construction
Consumer Products Manufacturers
Consumer Services
Cultural Institutions
Education
Electronics
Energy & Utilities
Environmental Services & Equipment
Financial Services
Food
Foundations
Health Care
Industrial Manufacturing
Insurance
Leisure
Media
Membership Organizations
Metals & Mining
Pharmaceuticals
Real Estate
Retail
Security Products & Services
Telecommunications
Transportation Services
Select One
Do you currently use an office coffee service? (If yes, please tell us who your current office coffee provider is, as they may already be a Starbucks Preferred Office Coffee Provider.)
Yes
No
Select One
name of provider
city of provider
What brand of coffee do you currently use?
Approximately how much do you spend on office coffee per month?
$50-$100
More than $100
Select One
How did you hear about Starbucks Office Coffee Service?
Referral
Web or print ad
Google
Other
Select One
Would you like more information on a single cup brewer?
Yes
No
Select One
Additional Comments
International
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