2026 Soulful Dining Experience Receipt Submission

2026 Soulful Dining Experience Receipt Submission
Name*

First NameLast Name
Email*
example@example.com
Are you a member of Delta Sigma Theta Sorority, Inc.?*

YesNo
What restaurant did you visit during the Soulful Dining Experience? *
How much money did you spend at this restaurant?*
What date did you visit this location?*
Would you like to be entered in our drawing for a $100 gift card for participating in the Soulful Dining Experience?*

YesNo
Please upload a copy of your receipt to be entered.*

Only one receipt
Cancelof
**Each visited restaurant is an entry into the drawing. A separate survey entry must be completed for each visit.**
Should be Empty: