Snail of Approval Nomination Form

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

YesNo
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: