FOOD SERVICE INFORMATION FORM

FOOD SERVICE INFORMATION FORM
Please answer the questions as they relate to your business. After submission, you will be contacted to answer any further questions.
Owner Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email
example@example.com
Enter the Urban League affiliate that you are associated with (if applicable)
Phone Number
Please enter a valid phone number.
Company Name
Business type

Full Service Restaurant Limited Service Restaurant Mobile Food Truck Catering Take Out Other
Website
Please enter type(s) of Cuisine
Number of seats available (standard)
Number of seats available (seasonal)
Number of seats available (Covid-19)
Number of customers served on an annual basis (pre covid)
Number of customer served on annual basis (covid)
Should be Empty: