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2. Please fill out this form so we can let residents know which restaurants are currently offering take-out and delivery.
4. Restaurant Name*
6. Phone*
8. Address
10. Website/Social Media
12. Food Pickup - Hours/Days
14. Delivery - Hours/Days
16. Where can customers find your menu?
18. Is online ordering available?

    1. Yes
    2. No
Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field