Establishment No Straw November Form

Establishment No Straw November Form

Want to take action? Pledge to Skip The Straw!
Applicant name*

First NameLast Name
Establishment name*
Social Media
Establishments Website and/or Social Media
*If you would like to share (optional)
Type of establishment*

BarCafeRestaurantOther
Physical address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is you physical address the same as your mailing address?*

YesNo
Mailing address (if different)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Daytime phone number*
Preferred method of contact*

EmailPhone
What type of straws are you currently using?
What type of straws are you currently using?*

PlasticPaperStainless SteelBiodegradable plasticWe don’t use strawsOther
On average, how many straws do you use in a month?*
How did you hear about No Straw November?*

NewsWord of mouthSocial mediaPostcardOther
Please describe the type of social media
How long are you interested in participating in No Straw November?*

Year roundEvery NovemberAll of November 2024Part of November 2024Other
How long are you interested in participating in No Straw November?*

Year roundEvery NovemberAll of November 2022Part of November 2022Other
Would you like to be added to our No Straw November participating establishments list?*

YesNo
Can we use you as a reference for other establishments to reach out about making the switch?*

YesNo
Would you be willing to share your experience with us after making the switch from plastic straws?*

YesNo
Would you be interested in a No Straw November starter kit?

YesNoOther
How many table tents would you need?
How many tables do you have in your establishment that would need table tents?
Should be Empty: