subject_line
CRAFT BEER TASTING: FEBRUARY 13, 2020 RESTAURANT REGISTRATION FORM
submit by Friday, January 17, 2020
Restaurant Information
Restaurant Name
(as it should appear in all promotional materials)
*
Contact First Name
*
Contact Last Name
*
Contact Title
*
Contact Office Number
(numbers only)
*
Contact Cell
(numbers only)
*
Restaurant Website
Facebook Page
Twitter Handle
Contact Email
*
Confirm Email
*
Instagram Handle
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Upload Restaurant Logo
(to be used on website and other promotional materials)
Upload Chef Photo
(to be used on website and other promotional materials)
Short Restaurant Bio
0/255 characters
Booth Information
Number of booths needed
(each 6-foot booth must be staffed by two servers)
*
Select all your booth's needs below.
Each booth will come with a 6-foot front and back prep tables with linens. Event will provide disposable tasting plates, forks, spoons and napkins. Event may not be able to accommodate needs that were not selected at the time of registration.
Ice
Electricity
Extension cord
Disposable shot glasses
Extra table
Other
Other
Donation information
(suggestion: dinner for four)
Donation item
Description
Restrictions
1
Donation item
Description
Restrictions
Additional opportunities
I am also interested in partnering with United Way of Miami-Dade and hosting local events at the restaurant that support my community.