Questions & Comments

Establishment:
(Name of Business)

Name:

Title:

Street Address: (No P.O. Box, Please)

City:

State:

Zip Code:

Phone:

Fax:

Email:

Primary Distributor:

Average # of meal served:
(per day)

Menu Type: (check all that apply)

Wings
BBQ
Breakfast/Donuts
American,mixed
Other

Steak
Sandwiches/Deli
Asian
Pizza

Mexican
Italian
Seafood
Non-Commer

Type of Operation:

Full Serv. Midscale/Family
Hotel/Motel
Full Service Casual/Theme
Retail Hosts
Cafeteria & Buffet
Caterers
Hospitals & Nurs. Homes

Business & Industry
Travel & Leisure
Quick Service
K-12
Bar & Tavern
College & Univ.

Ownership:

Chain
Contract Management

Independent

Comments:

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