Welcome to Step One of our easy online sign-up.

Please fill out this brief Questionnaire to help us customize your establishment's web storefront. If you would prefer to speak to someone to sign-up by phone,
call us at 877-8-POTATO (877-786-8286).

We look forward to helping you sell more of your merchandise!

Tell us about your restaurant:
Name of Establishment
Number of Establishments	Choose One 1 2 3 4 more than 4
Days of Operation	M   Tu   W   Th   F   Sa   Su
Hours of Operation
Type of Establishment (choose 1 or 2 categories)	Category 1 American American Indian Bakery BBQ Bar/Pub Bowling Alley Brewery/Pub Cafe Chili Parlor Chinese Night Club/Lounge Coffee House Comedy Club Delicatessen Diner Dinner Theater Donut Shop Drive-in Fine Dining Fish Fry Greek Hamburgers Healthy Food Hot Dogs Ice Cream Parlor Indian Mexican Middle Eastern Oyster Bar Pancake House Pizzeria Sandwich Shop Seafood Soda Fountain Soul Food Southern Steak House Taco Stand Vegetarian Other Category 2 American American Indian Bakery BBQ Bar/Pub Bowling Alley Brewery/Pub Cafe Chili Parlor Chinese Night Club/Lounge Coffee House Comedy Club Delicatessen Diner Dinner Theater Donut Shop Drive-in Fine Dining Fish Fry Greek Hamburgers Healthy Food Hot Dogs Ice Cream Parlor Indian Mexican Middle Eastern Oyster Bar Pancake House Pizzeria Sandwich Shop Seafood Soda Fountain Soul Food Southern Steak House Taco Stand Vegetarian Other
Please write a brief description of your establishment (HungryPotato.com will send description text to you for approval before publishing on our site):	please take this info from my website
Establishment Address(es) NOTE: Hungry Potato will list up to 4 addresses for each establishment - if you have more than 4 locations, please let us know below in which states you have an establishment.	please take this info from my website Location 1 Location 2 Location 3 Location 4 I have more than 4 locations. They are in the following states:
To what address should we send payment for your orders?
Do you have a digital picture of your restaurant to upload at this time?	Please Choose One Yes No
Do you have a digital version of your logo to upload at this time?	Please Choose One Yes No
UPLOAD YOUR LOGO HERE       |       UPLOAD YOUR RESTAURANT PHOTO HERE
Who should we talk to?
Primary Contact
Title
Phone
Best times of day to contact?
Time Zone	Choose One Eastern Central Mountain Pacific
Fax
Email Address
If you are not available, who would you like us to speak to?
Back-Up Phone
Back-Up Email
Your website information:
Do you have a website? If no, please skip to the next section.	Choose One Yes No
Establishment website address
May we take information and/or images (logo, header, graphics, product photos, etc.) from your website if needed?	Please Choose One Yes No
Would you like us to contact your Web Designer directly to add the required link from your site to your HungryPotato.com storefront? If yes, please include their contact information below.	Please Choose One Yes No
Web Contact
Telephone
Email Address
Gift Card/Certificate Information:
Does your restaurant offer gift cards or certificates? If no, please skip to the next section.	Please Choose One Yes No
What denominations would you like to offer?	Please Choose One Denominations of $20 ($20, $40, $60, etc. thru $200) Denominations of $25 ($25, $50, $75, etc. thru $200)
In order to safeguard all Gift Cards/ Certificates, these need to be mailed by you, our Restaurant Partner, directly to the Customer. HungryPotato.com will send you a pre-paid, pre-addressed Postage Label with your Order Notification of any Gift Card/Certificate Order. You will be required to give these orders to your Mail Carrier if you have regular USPS Mail delivery. If you do not, you will be required to Drop-Off your order at the U.S. Post Office.	Please choose one: My Establishment has Mail Carrier delivery My Establishment agrees to Drop-Off packages at U.S. Post Office
Tell us!
How did you hear about HungryPotato.com?	Please tell us!! Restaurant Website Restaurant Report Roadside Mag/Online Johnson & Wales Alumni Svcs. HPotato Restaurant Partner HPotato Mailing Trade Show Google Yahoo MSN Other Search Engine A Friend Can't remember
What are your goals with HungryPotato.com? Increase sales? Generate traffic to your website? National Exposure?
Any additional comments?
The items in bold are required. Please review your information for omissions before submitting.