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Interest Form - TakeOut Promotion
For local Milpitas Restaurants interested in participating with the StayStrongMilpitas TakeOut Promos. For additional information, please email:
rhjung@gmail.com
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Name of the Restaurant
Your answer
Owner's / Manager's Name
Your answer
Owner's / Manager's Phone
Your answer
Owner's / Manager's Email
Your answer
Address of the Restaurant
Your answer
Phone Number of the Restaurant
Your answer
Current Hours
Your answer
Do you offer delivery services?
DoorDash
GrubHub
Panda Express
Postmates
Other:
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Is the restaurant family owned
Yes
No
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We are looking for the restaurants to design a meal for families in need for $25 including tax. Ideally, it would feed 4. Can you describe what you would offer?
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