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2. Business Name*
3. Contact Name*
5. Address*
7. City*
8. State*
9. Zip Code*
11. Phone Number*
12. Email Address*
14. Website*
16. Do you accept online orders?*
    -- Select One --YesNo
17. Is the phone number above where customers can place an order on the phone?*
    -- Select One --YesNo
19. Please provide the URL to where customers can order online.*
20. Please provide a phone number for customers to place an order.*
22. Do you have an online menu?*
    -- Select One --YesNo
23. Please provide the URL (link) for your online menu.*
25. Which Parks are you able to deliver to?*

    1. Downtown Park
    2. Municipal Campus
    3. Grass Lawn Park
    4. Perrigo Park
26. Photo for business listing*
    Please upload a photo you would like us to use in your business listing.
28. Please provide a description of your restaurant.*
    We will post this description publically on our webpage.
30. Would you be interested in advertising opportunities in Redmond Parks?

    1. Yes
    2. No
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field