Restaurant Info
IC 0003JY
Doreen Pastore
Restaurant Name
Street Address
City
State
Zip
Phone
Fax
Website
Email
Email
Restaurant
Info Notes:
Meal Served (check all that apply)
Breakfast
Brunch
Lunch
Dinner
Late Night
24 Hours
Bar
Full Bar
Beer
Wines
BYOB
Micro Brews
   
Parking
Valet
Street
On Site
Type of Service
Sit down
Carry Out
Delivery
# of seats      
Attire
Casual
Formal
No dress
code
No Jeans
Jacket
Required
   
Reservations
Not
required
Required
   
Not
accepted
Suggested
   
Banquets
10-20
people
20-50 people
50-100
people
over 100
people
Off site
catering
   
Special Features
All you
can eat
Early Bird
Specials
Senior
Discount
Boosters
High
Chairs
Children's
Menu
Wheelchair
Access
Kosher
Organic Items
Gluten Free
Items
Entertainment
Dancing
Darts
Karaoke
Television
Game Room
Billiards/Pool
Private
Party
Room
Wi-Fi
Live Music
Atmosphere
Outdoor
Dining
Fireplace
Bar Scene
Scenic
View
Resort
Country Club
Family
Children
Payment
Visa
Master Card
Amex
Discover
Diners Club
Check
Cash Only
       
           
IF OPEN,
CHECK
DAY
HOURS
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Comments:
Certificates Offered
Check off
Amount
Average Dinner
Entree prices must
be between
(5 item minimum)
 
$5
   
$10
$4 - $7.99
 
$15
$8 - $10.99
 
$25
$11 AND UP
 
$50
$11 AND UP
 
$75
$11 AND UP
 
$100
$11 AND UP
 
    BAR- MUST have 5
min food items
 
$10
Pizza (if that's the
ONLY item/entree
on menu)
 
I understand that by
checking this box:
-there is no contract & I
can cancel at any time
-there are norestrictions
-until cancelation I must
accept and validate all
Gift Cards and Gift
Certificates. My
electronic signature
(type out full legal
name) is below
PRIMARY
TITLE
ROLE
Choose one
First Name
Last Name
Address
City
State
Zip
Phone
Alt #
Email
Fax
Electronic Signature
Type of cuisine:
SECONDARY
(where applicable)
I understand that by
checking this box:
-there is no contract & I
can cancel at any time
-there are norestrictions
-until cancelation I must
accept and validate all
Gift Cards and Gift
Certificates. My
electronic signature
(type out full legal
name) is below
SECONDARY
TITLE
ROLE
Choose one
First Name
Last Name
Address
City
State
Zip
Phone
Alt #
Email
Fax
Other notes or comments:
Electronic Signature
you can cancel anytime--you're not tied into a contract or honoring "deals" like the others.)

Gift Card and Gift Certificate (coupons) emailed/faxed or promoted on social media--they are not valid with other
discounts or any other promotions.

No restrictions, brings in more customers, we ENCOURAGE customers/businesses to post and share coupon with
others!!!

small businesses in your area as well as Fortune 500 companies are INTERESTED in trying out new
places for their catered parties & events. Some of these businesses are right around the corner from you!!!
Their employee's and customers are the recipients of these incentives. Wouldn't you LOVE to have their business
instead of the restaurant that's your competition? These are NEW CUSTOMERS who can become your
REGULAR'S
Each Gift Certificate coupon can have a DOUBLE it's value as the minimum spend. (see profit chart). i.e. a $25
certificate holder MUST spend a minimum of $50 to use the certificate. You can train your staff on upselling certain
profitable items.
Fill your seats & orders while we advertise your restaurant on social media, faxing and follow up phone calls  (it
increases your sales by advertising locally They are spending money with YOU instead of your competition. These
are NEW customers!!
Customer can only use Gift Certificate coupon once per table/pick up or delivery.

Get customer contact data (when customer HAS TO fill out their information for coupon to be valid.) You can
email them directly with other offers you may have  and get them to come back. If you elect to have us mail a
personalized handwritten THANK YOU card, you turn over the coupons. You can also insert any other
offer/promotion in these mailings.
PERSONALIZED SOCIAL MEDIA inserts (facebook, twitter, youtube)
word of mouth about your food and service will increase sales from customers (and their friends) who may have
never tried you. If we can get them in once, you can get them back again.