Restaurant Submission Form

NOVEMBER
1-30, 2024

Please fill out all the necessary information for us to get you set up. 😊

Restaurant Name:

Restaurant Address:

Contact Name:

Contact Email:

Contact Mobile:

If you haven't already, please provide your high resolution colour or black and white logo (Max 10 MB - JPG, PNG, PDF. AI, PSD):

What is the name of your Novemburger?

Please describe your Novemburger and its ingredients.

How about sides, add-ons or other available options?

What is the price for your Novemburger?

If people have any dietary restrictions to meat or seafood, will you substitute with a vegetarian option?

Yes No

List your social media accounts so we can follow and tag you:

Which printed promotional materials would you prefer? Please check all that apply:

8.5" x 11" Posters Table Toppers Menu Inserts

Please list your preferred quantities per promo material:

Would you like to host a Tip Tap (contactless payment device) for customer's who wish to make a donation to United Way?

Yes No

It would help our cause if your restaurant could add an option for additional diners to donate $2 to the United Way after they finish their meal. Would you be willing to include this option?

Yes No

Is there anything else you would like us to know?

NOVEMBER 1-30, 2024

Restaurant Submission Form

NOVEMBER
1-30, 2024