Long Island Restaurant Partner
Please complete this form to sign up to participate in Dine11.org!
Sign in to Google
to save your progress.
Name of Restaurant
Name of Contact
Include secondary number, if necessary
Please include all emails you would like to receive correspondences from Dine11.org
Maximum # Meals
What is the maximum number of meals your restaurant can produce for a catering? 50 meals? 100 meals?
What day do you prefer to do an order? (can select more than 1 day)
Do you prefer lunch or dinner? (Can select both)
Are you able to do your own delivery?
If you need us to make the delivery, please include pickup/parking instructions for our drivers
Do you want to participate weekly?
What area are you located? (can select more than 1)
Never submit passwords through Google Forms.
This form was created inside of MARCH ON.