Application for DISH
About You:
Full Name
*
First Name
Last Name
Personal Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Personal Phone Number
*
Format: (000) 000-0000.
Personal Email
*
example@example.com
Primary Contact Type?
*
Email
Phone (Call / SMS)
Other
About Your Business
Business Name (What the app will be called!)
*
Restaurant's Website Link
Business Details (Describe your business)
*
Business Category
*
Please Select
Breakfast
Coffee / Drinks
Ice Cream
Meal
Snack
Business address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Back
Next
Product Customization
Checkout
*
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( X )
iOS Package
- iOS App Only- All Feature Access- Basic Support
$
85.00
for each
month
Choose Some Marketing Products (For Customers):
*
Mobile App Card (250 Copies) - $50.00
Advertisement Card (50 Cards) - $40.00
App Icon Stickers (100 Stickers) - $65.00
None
Submit
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