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Restaurant Name
*
Phone
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Are you open for:
*
Take Out
Delivery
Take Out and Delivery
Curbside Pickup
Is there a limit on the number of customers who can be in your establishment at once?
Yes
No
Is there a limit on the number of customers who can be in your establishment at once?
Yes
No
How many customers can enter the establishment at once?
Please enter a number from
1
to
10
.
Do you have social distancing procedures in place?
*
Yes
No
Are your staff required to use gloves and masks?
*
Yes
No
Can you provide a link to your menu?
What delivery apps is your business listed in?
GrubHub
Caviar
Door Dash
Uber Eats
Direct From Store
Other
This field is hidden when viewing the form
Other
Please list your hours of operation here:
Day
From
To