Restaurant Participation Form

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Restaurant Participation Form

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* Indicates required question

Restaurant Name *

Your answer

Restaurant Contact Name *

Your answer

Restaurant Contact Email *

Your answer

Restaurant Mobile Phone (123-45-6789) *

Your answer

Do you Prepare Breakfast? *

Yes

No

Do you Prepare Lunch? *

Yes

No

Do you Prepare Dinner? *

Yes

No

Can You Prepare Individually Wrapped Items *

Choose

Yes

No

Can You Prepare Trays? *

Choose

Yes

No

What Types of Food? *

Choose

American

Italian

Mexican

Latinx

Soul Food/Caribbean

Chinese

Vegan-friendly

Other

IF you chose 'Other' above, please specify

Your answer

Submit

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