Dine Out Restaurant Registration

Please use this form to sign up and participate in this year's Dine Out for Maple Alley Inn event Tuesday, May 7, 2013. NOTE: To ensure you are included in all printed promotional items, this information must be received by Feb. 15.

Name*
First Last
Restaurant Name*
Restaurant location(s) (for "Dine Out" promotional purposes)*
Mailing Address (if different than location address)
Website we will promote during the Dine Out event
Email
What hours will your restaurant be open Tuesday, May 7?
Is there another contact person at the restaurant? If so, please provide his/her name:
Contact Phone
Contact Email
Please check items you will use to promote Dine Out:
- Color posters (No charge)
- Table Tents (No charge. Please indicate how many in notes below)
- "Dine Out" buttons (No charge. Please indicate how many in notes below)
- Maple Alley Inn information handouts for your guests. (No charge. Please indicate how many in notes below)
- Maple Alley Inn volunteer ambassador onsite during vent May 7
- "Dine Out" t-shirts for staff to wear prior and during event. ($10)
Please use this space to indicate how many you would like of each item you checked