KAUZ Contests

Discount Dining Registration
1.What is the name of the restaurant?
*
2.Please provide your contact information.
First Name* M.I. Last Name*

Email Address* Daytime Phone* Evening Phone*
3.What is the best time to contact you?
*
4.Which program are you interested in?*
5.Please answer the questions below to help us determine the best offer.
What kind of restaurant is it? (ex: fine dining, casual, tex-mex, etc.)
Do you have a web site?
Do you have a menu online?
Would you like a Google map to your restaurant?
How many gift certificates can be purchased by each web user?
Do you sell alcohol? If so, would you like it to be available for purchase with the certificate?
Can the certificate be used for multiple visits?
Can the certificate be used at multiple locations?
Cash back on the unused portion of the certificate?
Is there a cash value on the certificate?
Can guests use more than one certificate per visit?
Does the certificate include tax or gratuity?

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