Curbside/Direct Delivery Restaurant Signup Form

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Curbside/Direct Delivery Restaurant Signup Form

Owner/Management E-mail Address for Boozy Burbs use only

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* Indicates required question

Email *

Your email

Name of Restaurant *

Your answer

Town *

Your answer

Website URL *

Don't forget http://

Your answer

Phone Number *

use the format: (XXX) XXX-XXXX

Your answer

Owner/Management Name *

for Boozy Burbs use only

Your answer

Services Offered *

Curbside pickup

Deliveries made by our own staff/personnel

Alcohol delivery

Required

Submit

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