Urban Eatz Delivery-Business Registration Form
Please provide all required details to register your business with Urban Eatz Delivery
Business Owner's Name
First Name
Last Name
Business Name
Name of Registered Business
Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Business
Brick & Mortar
Food Truck
Home-Based (Food Handler's License Required)
Consumer Goods
Other
Hours of Operation
Can we use your images in our marketing plan?
Yes
No
Are you currently on another delivery app platform?
Yes
No
What are you looking for in a delivery app and how can we help your business? Do you also understand that in order for your customers to order on our app, you are responsible for letting them know, unless you have paid for marketing through the app
How many deliveries are you expecting per week
1-25
26-50
51-75
75+
For any problems, questions or concerns with this form please call 281-985-1919
Submit
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