RESTAURANT INFLUENCER REQUEST FORM
Thank you for your interest in visiting one of our restaurants. We welcome journalists, bloggers, vloggers, and influencers, who are developing coverage for print, digital, broadcast, and social channels. Accommodations are subject to availability. Please complete the form below and allow 24-48 hours for a response regarding your request.
Your Information
Name
*
First Name
Last Name
Email
*
Phone Number
*
-
Area Code
Phone Number
Media Type
*
Please Select
Blog/Vlog
Broadcast Media
Print Media
Social Media
Media Outlet Name
Do you write for any other publications?
*
Yes
No
If yes, which one(s)?
Social Media Handles/Links
*
# of Followers
*
Website
*
Please Attach Media Kit (if applicable)
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Request Details
Preferred Restaurant:
*
Please Select
Bargello
Capella on 9
District 42
J. Bird's Island Eatery
Moonsong Bar + Cafe Raleigh
Nuvole Rooftop TwentyTwo
The Ponce Room Kitchen & Bar
Urban Oak Raleigh
Waving Girl Rooftop
Wildwood Still
Other
If other, please include restaurant name:
Preferred Date:
*
-
Month
-
Day
Year
Date
Is your preferred date flexible?
*
Yes
No
Preferred Time:
Hour Minutes
AM
PM
AM/PM Option
Is your preferred time flexible?
*
Yes
No
If a complimentary visit is not available, would you be interested in a discounted visit?
*
Yes
No
What is the main reason for your visit?
*
Have you dined at the restaurant before?
*
Yes
No
Will you be dining with additional guests?
*
Yes
No
If yes, how many?
Do you have any dietary restrictions?
*
Additional Information or Requests:
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