Dining Out For Life® Chicago 2020 Restaurant-Participant Agreement
THANK YOU for joining Dining Out For Life Chicago and making your establishment one of the generous leaders supporting Chicago's LGBT and HIV-affected communities on April 30, 2020. If you have any questions about this form, please email our team at
. Thank you for your participation and support in Chicago!
Please provide your business name (and corporate business name, if different)
Authorized business representative or owner name *
Authorized business representative or owner title
Your name (if completing this form on behalf of your authorized owner or representative above)
YES, we are excited to participate in DINING OUT FOR LIFE CHICAGO 2020 and help support Chicago’s LGBT and HIV-affected community by donating a portion of proceeds from our sales on THURSDAY, APRIL 30, 2020 to TPAN’s mission (per below, a designated percentage of gross food and/or alcohol sales).
We will donate 25% of gross food and/or alcohol sales.
We will donate 33% of gross food and/or alcohol sales.
We will donate 50% of gross food and/or alcohol sales.
Please contact me! We want to participate, but I would like to discuss details and/or make arrangements for a percentage not listed or a flat donation.
Tell us how you would like Dining Out For Life represented in your establishment on the April 30, 2020! As a part of the event, TPAN provides a volunteer Ambassador for your location on the event day to help thank guests, share information about our mission, answer questions, and (as agreed with you) invite & accept contributions. If, however, you have a regular patron or a staff member who you would like to serve as your location’s Dining Out for Life Ambassador, simply share that with us, and we provide all necessary training. To help inform your service staff, managers, and any other team members you would like involved in Dining Out For Life (on the event day or in its promotions) we provide collateral and training for your team – as little or as much as you require!
I would like TPAN to assign an Ambassador for our location.
I would like to assign a staff member or patron to serve as our Ambassador. (You may provide contact information at the end of this form – or at any time before March 15, 2020).
Optional: We would like a TPAN representative to come to our location so our entire staff may serve as Ambassadors.
Some businesses provide a gift certificate or PR support to help promote your location in Dining Out For Life and assist in volunteer recruitment and incentive programs. This is OPTIONAL, so please let us know your preference of the following:
Yes, we will provide a gift card/certificate to support promotions and volunteer engagement.
Yes, we would like to talk about ways to support PR for Dining Out For Life and our participation.
No, thank you. We are pleased to participate without donating a gift certificate or PR assistance.
I understand the basic terms and format of the event, and I am adding our establishment to the official Dining Out For Life Chicago 2020 roster!
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