Full Name
*
First Name
Last Name
Email
*
example@example.com
Title
*
Phone Number
*
-
Area Code
Phone Number
Brand or Chain, if applicable
List the name of the venue you wish to enroll as a Dining Partner:
*
Venue Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Are you enrolling multiple locations?
*
Yes
No
How many locations?
*
Two
Four
Three
Other
Venue #2 Name
*
Venue #2 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Venue #3 Name
*
Venue #3 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Venue #4 Name
*
Venue #4 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
List all venues you wish to enroll in DINEvent's Dining Partner program:
Back
Next
Accounts Payable
DINEvent bills Dining Partner upon completion of each referred event.
Billing Contact Full Name
*
First Name
Last Name
Billing Email Address
*
example@example.com
Billing Phone Number
*
-
Area Code
Phone Number
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is the billing address the same as the venue address?
*
Yes
No
Dining Partner Social Media
Venue or Brand Instagram Handle
Venue or Brand Twitter Handle
Venue or Brand Facebook Link
Dining Partner Agreement
As an authorized agent on behalf of the dining venue listed above, I agree to the terms of the Restaurant Connect, LLC (DBA DINEvent) Dining Partner Agreement. By signing below, I, the authorized decision maker, accept all Agreement Terms & Conditions.
Agreement PDF
Signature of Authorized Agent
*
Printed Name of Authorized Agent
First Name
Last Name
Today's Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: