Dine Out Revere will take place from Friday, October 14th to Sunday, October 23rd. To participate, fill out the form below.
Please make sure you meet all of the requirements to participate listed on our website before applying.
Restaurant Name
*
Example Restaurant
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Restaurant Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Link to website:
*
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Have you been in business for at least one year?
*
Yes
No
Is the business located in Revere, MA?
*
Yes
No
Which of the following do you agree to provide during the Dine Out Revere campaign? Select all that apply.
*
Create a special menu offering(s) for Dine Out Revere
Provide discount(s) on existing menu items
Create a pre-fixed 3 course menu option(s)
Based on the option you selected, describe with specific details what you plan to offer.
*
Ex. A pizza shop offering a 10% discount on all pizza, creating a specialty Revere sandwich, etc.
Do you agree to donate a minimum of 5% of the proceeds of the Dine Out Revere offering to our charity partner(s)?
*
Yes
No
Please select if you prefer to split your donation to each of our partner charities or you prefer to support just one.
*
Both
First Congregational Church - Food Pantry
Restaurant Strong Fund
If you are graciously willing to give more than 5% back, write in the percentage you are willing to give to our charity partner(s) you selected in the above question.
Must be a minimum of 5%
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Upload logo
*
Browse Files
Prefer jpg or png
Cancel
of
Select all social media accounts you have for your business.
*
Instagram
Facebook
Twitter
TikTok
YouTube
Other
For any social media accounts selected above, please put your social handle.
Submit
Should be Empty: