Heated Outdoor Dining Signup Form

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E-mail Address for Boozy Burbs administrative use only

* Indicates required question

Email *

Your email

Name of Restaurant *

Your answer

Town *

Your answer

Will Reservations Be Needed? *

Yes

No

How Is Your Space Heated?

Your answer

Website URL *

Don't forget http://

Your answer

Restaurant Phone *

use the format: (XXX) XXX-XXXX

Your answer

Owner/Management First Name *

for Boozy Burbs use only

Your answer

Owner/Management Last Name *

for Boozy Burbs use only

Your answer

Submit

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