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Enter the name of the consultant who introduced your business to this program.
Consultant
BUSINESS
Public Business Name
*
Legal Business Name
*
Street Address
*
Suite, etc
City
*
State
*
Select state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZipCode
*
Country
*
USA
Neighbourhood
BUSINESS MANAGER / OWNER
First Name
*
Last Name
*
Email
*
Username
*
Password
*
Confirm Password
*
Work Phone
*
Mobile Phone
ORDER METHODS
Which ORDER methods we want to offer:
*
Pick-up
Delivery
Dine-In
DELIVERY DRIVERS
Have drivers employed by you? (i.e. NOT SkipTheDishes, DoorDash,...)
Yes
No
WEBSITE
Your own branded website...NOT 3rd party like Skip the Dishes menu site?
Yes
No
Your Current Website
MERCHANT TYPE
Select which type of merchant category best describes your business
SELECT
Restaurant
Grocery store
Florist
Wine / Alcohol Store
Cannabis Store
Pet Food Store
Other