EmailMe Form - RESTAURANT PARTICIPANT AGREEMENT FORM

To sign up, complete the participation form by April 1, 2024 to receive full publicity. By submitting this form, you are agreeing to donate 10% of your sales on May 7th to Greensboro Urban Ministry. Serving Greensboro Together promotional materials will be delivered to your restaurant in mid-April.

Sign up by April 1st and you will be included in the following:

• Event ads and PSAs, and other publicity that may be provided by our sponsors
• Your website linked on the Greensboro Urban Ministry's event page for Serving Greensboro Together
• Posters, table tents, and yard signs for the event.
• Event information publicized to our supporters in GUM's spring newsletter, social media, and E-News.

Restaurant Name *

Contact Person *

Title *

Address of Restaurant: *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Mailing Address (please include mailing address if different than restaurant address)

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Restaurant Phone *

### - ### - ####

Contact Email *

Restaurant Web Site (Facebook page if no website) *

We will create a link on our website's Serving Greensboro Together event page.

Facebook Page?

Yes

No

Free promotional materials will be delivered in mid-April. Please indicate the number of each item needed in spaces below. *

Table Tents
Posters
Yard Signs (limit of 3)

As a Serving Greensboro Together participant, I agree to donate 10% of sales from May 7, 2024. I will send the proceeds within 30 business days, no later than June 15, 2024 as a donation to support the work of Greensboro Urban Ministry's Potters House Community Kitchen. *

Yes, I agree.

Signature (please type your name) *