Questionnaire for Restaurants and Cafes

CONTACT INFORMATION

(items marked with an * are compulsory fields)

STATE: *

STATE TOURISM REGION

NAME OF BUSINESS: *

TYPE OF BUSINESS: *

NAME(S) OF OWNER/OPERATOR: *

ADDRESS: *

TOWN: *

POSTCODE: *

TELEPHONE

FAX

EMAIL ADDRESS

WEBSITE


ABOUT YOUR BUSINESS

Licensed/BYO

Licensed BYO BYO Wine only

Cuisine

Average cost of main course

Specialty

What local produce do you feature on the menu? 

Do you grow anything that features on the menu?

Do you make any jams, pickles, other products that people can buy?

Do you serve takeaway?

Do you have an outdoor area, great views, anything else special we should know about?

OPENING HOURS


Breakfast:

S M T W T F S

Lunch:

S M T W T F S

Dinner :

S M T W T F S

We are always interested in the story behind each business. If appropriate, tell us how you came to open this business, your background, other experience in the food industry etc.


Directions for finding your business

Images

I give you permission to use images from my existing web site

I will email you images separately EMAIL HERE

TERMS & CONDITIONS:

I wish to subscribe to a (please select): *

In submitting this form I understand that I will be invoiced for an establishment fee of $165 ($150 plus $15 GST) for a Gold Premier Listing OR $137.50 ($125 PLUS $12.50 GST) for a Silver Plus Listing OR $82.50 ($75 plus $7.50 GST) for a Silver Premier Listing. * _________ Yes