Restaurant Application

Please complete the following information & click on apply to submit your application.

*Restaurant Name:
*Restaurant Address:
*City:
*State:
*Zip:
*Restaurant Phone:
Fax:
*Contact Name:
Title:
*Home Address:
*City:
*State:
*Zip:
*Home Phone:
E-Mail:
*How long have you been in business?
*Seating capacity?
*How many employees do you have?
Have you done off-site business?
If yes, what?  
 
*Who referred you to the Taste of Buffalo?
Please briefly describe four (4) items you would propose serving.
*Item 1
*Item 2
*Item 3
*Item 4
*Healthy Option
*Which of these could also be your "Taste" item?
*indicates required field
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