Address
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City
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State/Province
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Business Phone
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Which best describes your Title? (Check only one)
Company Officer: President, Owner, Partner, CEO, VP, Treasurer, Director, Assist. To President/VP, Other Officer Operations Mgmnt: Operations/Facilities Dir/Mgr/Supervisor, General Mgr, Administrator Foodservice Mgmnt: Restaurant/Food Service Dir/Mgr/Supervisor, Nutritionist, Menu/Food Planner, Dietitian Chef: Exec/Head/Pastry/Sous Chef Purchasing: Buyer, Purchasing/Materials Dir/Mgr/Supervisor Other (please specify): Required
Which best describes your restaurant concept? (check only one)
Casual or Theme Restaurant Polished Casual Restaurant Family Restaurant Fast Casual Restaurant Fine Dining Restaurant Cafeteria/Buffet Foodservice in Hotel/Motel/Resort/Spa/Casino Central Commissary Clubs Caterer Drinking Place with Food (Bar, etc.) Other (please specify): Required
Which best describes your restaurant operation? (Check only one)
Independent (1 operating unit) Multi-Unit Independent (2-9 operating units) Chain (10 to 50 units and under $150 million in system sales) Chain (more than 50 units and under $150 million in system sales) Chain (more than 50 units and $150 million or more in system sales) Other (please specify): Required
What are your gross annual food/beverage Sales (including alcohol beverages)? (Check only one)
$5 million or more $1,000,000-$4,999,999 $500,000-$999,999 $300,000-$499,999 $299,999 or less Required
What is the month of your birth?*
January February March April May June July August September October November December Required
