2027 Restaurant Sign Up Form RESTAURANT INFORMATION Restaurant Name * If you have more than one location. Please complete this registration form again for each location for which you would like to register as a participant. Mailing Address * Include PO Box, Street #, Street name, City, Zip Code Location Address (if different from mailing address) Location Phone Number: * Location Website (URL): * Owner/Manager/Contact First & Last Name: * Owner/Manager/Contact Email Address (for QHMA internal use only): * Owner/Manager/Contact Phone Number (for QHMA internal use only): * Do you agree to promote your Restaurant's offer in-house during QHMA Restaurant Month to customers? * Yes, I agree Days/Hours of Operation: * Please list your expected hours of operation during Restaurant Month 2027 (April 1- May 2) with the days of the week and operation hours for each day in this section. Example: SUNDAY: 10am-8pm MONDAY: Closed ...etc Your 2027 Restaurant Month Offer: * Please detail your restaurant's offer for promotion. Examples include but are not limited to a percentage discount with requirements, special prix-fixe meal, buy one-get one, signature dish/dessert/drink, etc. Upload Your Logo Please upload a high resolution digital file of your restaurant's logo for use in the QHMA 2027 Restaurant Month promotion. Tell Us More: * Please provide a promotional description of your restaurant that you want to share with new customers (history, menu/offerings, etc): If you are not already a QHMA member, would you be interested in joining? * Yes, please send more information No, not at this time We are already members! Select one option
