Second District - Restaurant Nomination Form
Calling all cities and neighbors! Do you want to support a Second District restaurant and continue encouraging community members to #taketheirshot?

We're here to help!

1. Nominate two restaurants from each city in the 2nd District using the form below.
2. We'll hold a drawing, randomly select two restaurants, and
3. Purchase gift cards from them for our upcoming COVID vaccine clinics!

It's a win/win, and we're so thankful you're helping us get D2 back to work!
1. What's the name of the restaurant? *
Your answer
2. What's the address of the restaurant? *
Your answer
3. Contact number/contact name for the restaurant (if available)? *
Your answer
4. Your contact name/email/phone number *
Your answer
5. Is there anything else you'd like us to know? *
Your answer
Get link
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms