About Elmira | Restaurant Directory Registration Form

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Restaurant Directory Registration Form

The City of Elmira is seeking the input from Restaurant owners and managers within the city limits of Elmira to promote your business on our website.

If your restaurant is located within the city limits of the City of Elmira, complete the form below and submit it to add your restaurant to the City's Restaurant and Dining Directory. Along with the information below, you can submit a menu. After you submit the information, you will be given instructions on how to send us your menu.

You need a valid email address that is checked regularly to register. You will be placed on a mailing list that will be emailed periodically to confirm the information for your restaurant is still current and valid.

Complete all information below:



1. What is the name of the Restaurant?


2. What is the street address of the Restaurant?
, Elmira, NY (zip)

3. What is the phone number of the Restaurant?
Area Code: () -

4. If your Restaurant has a website, what is the address?
http:// (leave blank for none)

5. Check all meals that you serve:
	Breakfast
	Lunch
	Dinner

6. What type of Restaurant? Check all that apply
	Family Restaurant
	Fast Food Restaurant
	Full Service Restaurant
	Tavern/Bar

7. Do you require Reservations?
	Yes
	No

8. Do you offer Take-Out?
	Yes
	No

9. Do you offer Delivery Service?
	Yes
	No

10. Do you offer Live Entertainment on a regular basis?
	Yes
	No

11. Do you accept credit cards?
	Yes- if so which ones?
	No

12. Do you accept personal checks?
	Yes
	No

13. Give us a one line description, slogan, or motto for your Restaurant:

Examples:	Casual Steak and Seafood Dining in a relaxed atmosphere Pizza, subs, and Italian food baked fresh Elmira's friendly restaurant around the corner Premiere Gourmet dining at an affordable price Offering the best homemade soup and deli sandwiches

14. Indicate your standard business hours:
	PLEASE USE THIS FORMAT: 3:00pm to 12:00am



**	You can change the days above to better suit your needs. For example, if your restaurant is closed on Mondays, change the top field to T-F

15. Include any additional information about your restaurant:

Examples:	Daily Specials every week. Live Jazz band every Friday night! Delivery only available within 5 miles of the restaurant. Closed for the winter season from October to March. Personal checks require a valid Driver's License. Reservations suggested but not required.

Private Information: This information is for the webmaster's reference and will not be visible on the website

16. What is your first and last name- the name of the Restaurant's Representative?
*a Restaurant Representative is required

17. What is your email address?
*a valid email address is required

Terms and Conditions: The City of Elmira offers this service as a courtesy. There is no warrantee or guarantee expressed or implied. Information must be accurate and maintained or it will be removed. I understand that I am responsible for maintaining the validity of the information submitted. I agree that the City of Elmira is not liable for any misinformation, confusion, or errors in the listing that may result in lost business or other damage to me or my business. I testify that I am authorized to serve as a representative as the owner, manager, or his or her designee in regards to the listing on the website. The City of Elmira has the right to remove any individual listing, all listings, or the web page itself at any time.