Lavazza Harlan's Complete

Lavazza Equipment Loan Program – Prequalification
Business Operating Name: ______________________________________________________________________
Address: _______________________________ City/Prov.: _______________________ Postal Code: __________
Contact Person: ___________________________ Telephone: ________________ email: ____________________
Type of Business (please circle): -Restaurant -Café -Hotel -Catering -Resort -Sports Venue -Office
Other: _________________________________ New Business? Yes No Seasonal business? Yes No
Years in business: ______ Hours of operation: ______________________________ Seating capacity: _________
Meals served: Yes No If yes, please specify: Breakfast Brunch Lunch Dinner Catered
Existing Business:
1. Please attach a velocity report for the past 52 weeks. Include all coffee sales (drip & espresso). If you are not
the current coffee provider for this account, please have client obtain information from current supplier.
If velocity report is not available, please have client supply invoices for the past 52 weeks (can hide pricing).
Product Name (specify beans/ground and espresso or drip)
Case
Size
Pack Size
(grams or oz)
Total cases over 12
months
2. Does the restaurant own or need equipment? If equipment is required, please indicate which type and model.
Model number: __________________________ Model number: ___________________________________
Loaned equipment will be based on daily volume requirement as determined by Lavazza. Equipment will be
confirmed once all information is received and analyzed.
New Business:
Provide an estimate on number of espresso and drip servings anticipated per day.
Espresso: _______ Drip: _________ Will customer be serving both Lavazza Espresso and Drip: ________