Dining Out For Life® Chicago 2019 Participant Agreement
Business Name and Corporate Business Name (If Different)
Authorized Business Representative or Owner Name
Authorized Business Representative or Owner Title
I agree to contribute a designated percentage of gross food and/or alcohol sales made on April 25, 2019, to TPAN.
I agree to donate 25% of gross food and/or alcohol sales.
I agree donate 33% of gross food and/or alcohol sales.
I agree to donate 50% of gross food and/or alcohol sales.
I would like to make arrangements for a percentage not listed or a flat donation.
TPAN will provide an Ambassador for your restaurant during DOFL to thank guests, share information, answer questions, solicit and accept contributions and distribute and collect donation envelopes. If you have a regular patron or a staff member whom you would like to be your Ambassador, you may do so, we provide all necessary training. To better inform wait staff, managers, and other personnel about Dining Out For Life, you may also sign up for full staff training.
I would like TPAN to assign an Ambassador for my business.
I would like to assign a staff member or patron to serve as our Ambassador. Please provide contact information if available at the end of this registration.
I would like a TPAN representative to hold training at our location so our entire staff may serve as Ambassadors.
Optional: Participants may provide a gift certificate to be used in media promotions or to assist in volunteer recruitment and incentive programs.
Yes, we will provide a gift card/certificate.
I agree that as a participant, this business agrees to participate in Dining Out For Life (DOFL) on Thursday, April 25, 2019, and to send or deliver a check for the total contribution payable to TPAN no later than June 1, 2019.
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