Dining Bonds Restaurant Intake Form
Thank you for participating in Stamford's Dining Bonds Program. We reserve the right to reject submissions or ask for additional information
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Email *
Contact First and Last Name *
Will not be displayed nor shared, strictly for communication purposes.
Contact Phone Number *
Will not be displayed nor shared, strictly for communication purposes.
What is the name of your restaurant? *
What is the address of your restaurant? *
Please share a link to a landscape-orientation image or logo we should use as your thumbnail.
Images are likely to get more clicks, FYI. If a link is not available email your image to diningbonds (at) stamfordpartnership (dot) org
Do you agree to offer and honor a 15% gift certificate discount to customers generated through this program? *
How many employees work at your restaurant? *
Include both full-time and part-time combined.
Are you open right now and planning to remain open unless ordered to close? *
Are you currently offering delivery if ordered directly through your website or call-in order? *
Are you currently offering curbside pickup if ordered directly through your website or call-in order? *
Are you currently offering takeout alcohol? *
Please submit your redemption instructions. Make sure to indicate how you plan to apply the discount to the final purchase. *
What is the website address of your restaurant? *
You must have a website in order to participate in this program.
Do you wish to have your restaurant removed from the program?
Don't fill this in when entering your information for the first time. Come back to this form when you're ready to exit the program and check this box and resubmit.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of stamfordpartnership.org.