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Email

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Business Name*

Business Information

Please provide updated business information below.

What campaign are you participating in?

Northwest (Oregon & Washington)
Southwest (Arizona, Nevada, Colorado, North Texas)
Houston (Galveston & Beaumont)
Carolinas (North Carolina & South Carolina)
Bay Area (San Francisco, Oakland, Sacramento)
Northeast (Connecticut, Pennsylvania, Massachusetts, Delaware)
New York (New York & New Jersey)
Toronto (Toronto, Canada)
Greater Washington DC (Baltimore, Maryland, and Virginia)
Atlanta
Los Angeles (Includes Southern California)
Midwest (Indiana, Illinois, Kansas, Missouri, Michigan, Minnesota, Nebraska, Ohio, Wisconsin)
Southeast (Kentucky, Tennessee, Arkansas)
Gulf Coast Black Restaurant Week (Alabama, New Orleans, Mississippi)
Florida Black Restaurant Week

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Street Address Address Line 2 City State ZIP Code

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How many Facebook followers do you have? **

How many Instagram followers do you have? **

Do you own a liquor license? **

Yes
No

Do you own a beer/wine license? **

Yes
No

Would you like to learn more about selling products in our Culinary Marketplace? **

Yes
No

Do you sell culinary products? **

Yes
No

Do you sell digital or egift cards? **

Yes
No

Additional Notes & Comments

Please let us know if there are any edits or updates to your original listing.

Weekly Special Menu

Provide a special pricing on popular dishes during the week, or offer a special deal. Please provide dish name and price for each item on the menu. You dont have to submit multiple dishes, you can submit only the amount you would like to offer.

Menu Offerings

Please check all that apply:

1. Dish Name & Description

Price

2. Dish Name & Description

Price

3. Dish Name & Description

Price

4. Dish Name & Description

Price

5. Dish Name & Description

Price

6. Dish Name & Description

Price

Beverages & Drinks

Price

Suggested Wine or Cocktail Pairings

Price

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Business Information

Weekly Special Menu