Check, Please! Arizona Guest Application

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Email *

First Name *

Last Name *

Occupation *

Street Address *

City *

State *

Zip Code *

Daytime Phone *

Email *

Date of Birth (We won't tell) *

YYYY

Ethnicity *

Asian

Black/African

Caucasian

Hispanic/Latino

Native American

Pacific Islander

Prefer not to answer

Other:

If selected, you will be required to visit and review two other Valley of the Sun restaurants as part of the show. Are you willing and able to travel within a 50-mile radius of Phoenix? *

Yes

Required

List the foods you Do NOT or CANNOT eat:

Your Restaurant Recommendations:

List your three favorite valley restaurants, eateries, or dishes below (restaurants must be 3 years in operation.)

First Recommendation

Restaurant 1 - Name: *

Restaurant 1 - City: *

Restaurant 1 - Phone Number: *

Restaurant 1 - Type of Cuisine: *

Second Recommendation

Restaurant 2 - Name: *

Restaurant 2 - City: *

Restaurant 2 - Phone Number: *

Restaurant 2 - Type of Cuisine: *

Third Recommendation

Restaurant 3 - Name: *

Restaurant 3 - City: *

Restaurant 3 - Phone Number: *

Restaurant 3 - Type of Cuisine: *

Why are you interested in participating in "Check, Please!" and why will that make you a good guest?

(1 paragraph)

Write a description of your experience at ONE of the three valley restaurants you listed above. This restaurant will likely be the one you and the other guests will review for the program. To ensure you don't lose your copy, it is a good idea to write your review in a text editor, save it, and then paste it into the form field.

(1 paragraph max)

Need a hand?

If you have problems with this form, please contact us at azpbs@asu.edu or 602-496-8888. We are able to respond on weekdays between 9 a.m. and 4 p.m.

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