Restaurant Name*

Address*

City and State*

Hours*

Do You Offer Take-Out or Curbside Pickup?*
YesNo

Do You Offer Direct Delivery? (Select "No" if delivery is through a 3rd party service, such Uber Eats, GrubHub, etc.)*
YesNo

Do You Offer Third-Party Delivery? (If so, list the services, such as Uber Eats, GrubHub, etc.)*

Restaurant Phone Number*

Link to Menu or Website or Facebook Page*

Which County is Your Restaurant In?*

Your Name*

Your Role/Position*

Your Email Address*