Restaurant Registration

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The information on this form will be listed on Cobb Restaurant Week materials. Please list your information exactly as you would like for it to appear.

Important Dates:

Enrollment Deadline: July 13, 2012
Cobb Restaurant Week: September 8 to September 15, 2012

NOTE: If you have multiple restaurants to register, you must complete a seperate form for each restaurant.

Restaurant Information

To Be Displayed Online

Restaurant Name:

Physical Address 1:

Physical Address 2:

Physical City:

Physical State:

Physical Zip Code:

Web URL:

Reservation Phone:

Type of Cuisine:

Participating in:

$15 Menu
$25 Menu
$35 Menu

Restaurant Description:

Hours of Operation:

Facebook Page:

Twitter Page:

OpenTable.com Member

Main Contact Information

Please provide the name of one contact persom who will be responsible for all elements of 2012 Cobb Restaurant Week, including menu submittal, collateral distribution and internal communication.
First Name:
Last Name:
Title:
Email:
Primary Phone:

Red fields are required.

Please enter the 4 character string shown in the box above.

Restaurant Registration

Important Dates:

Executive Chef Sponsor