Dining Out for Life Contract

Dining Out for Life Contract

Damien Center
Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please enter the restaurant name:
Restaurant Address:

Street Address

Street Address Line 2

CityState

Zip Code
Price Guide:
Open Hours (Choose all that apply):
Reservations:
Region (Choose all that apply):

Other
Dining Options (Are you open for dine-in, outdoor seating, take-out, delivery, or other? Let us know how people can enjoy your restaurant.)
Would you like volunteer ambassadors at your location(s) promoting DOFL on the day of the event?
If yes, please select the time of day you'd like your ambassadors present. We will try our best to fill each selected slot.
Owner's Name:
Owner's Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Owner's Email Address:
example@example.com
Event Contact Name:
Event Contact Title:
Event Contact Email Address:
example@example.com
Event Contact Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Event Contact Name, email and phone (If different from owner):
Social Media Contact Name and email (If different from owner):
Social Media Links:
Please provide the URL to any relevant Social Media sites for your business (Facebook, Instagram)
Business Logo

Please upload your official business logo(s). Transparent or no background preferred. Logo files should be a minimum of 150x150 pixels in size. Accepted file types [ONLY]: jpg, jpeg, png, svg.
Cancelof
Contribution:
Would you like to receive DOFL promo materials? Example: Coasters, Napkins, Table Tents, etc.
Should be Empty: