Long Island Restaurant Partner
Please complete this form to sign up to participate in Dine11.org!
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Name of Restaurant *
Primary Address *
Name of Contact *
Phone Number *
Include secondary number, if necessary
Email *
Please include all emails you would like to receive correspondences from Dine11.org
Maximum # Meals *
What is the maximum number of meals your restaurant can produce for a catering? 50 meals? 100 meals?
What day do you prefer to do an order? (can select more than 1 day) *
Required
Do you prefer lunch or dinner? (Can select both) *
Required
Are you able to do your own delivery? *
If you need us to make the delivery, please include pickup/parking instructions for our drivers
Do you want to participate weekly? *
What area are you located? (can select more than 1) *
Required
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