Snail of Approval Nomination Form

Your Information
I am a member of Slow Food (you must be a member to submit a nomination)
Full name

First NameLast Name
Email
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Information of Restaurant Being Nominated
Restaurant's name
Restaurant's website:
Do you have any direct or indirect financial interest in the restaurant or business being nominated? If so please explain. (Answer to this question is not necessary for self-nominating restaurants.)
Why are you nominating this business/restaurant for Snail of Approval?
Should be Empty: