Taste of Little Rock 2022 Restaurant Sign Up

Name of Business

Please list name exactly as you wish it to appear in print.
Primary Contact Person
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Fax Number (If Applicable)
Email
Item(s) to be provided:
Please prepare to have 500 “tastes” of a signature dish. There is potential to reach 700 new customers.
Please let us know how much your in-kind food gift is worth for your tax purposes. You will receive a tax receipt from the UA Little Rock for food and labor donation.
Total Dollar Amount In Donated Food Total Dollar Amount In Donated Labor
Consent*
Set up will be at the Jack Stephens Center, Tuesday, March 29 from 3:00-5:00 pm.

There will be no on-site kitchen access at the facility, please have food prepared upon arrival.

Each restaurant will receive one 6’ table for display, one 6’ foot table for set up, and access to an electrical outlet at their station to warm food and/or keep food warm.

Tablecloths, forks, spoons, napkins, plates and bowls will be provided.
By checking this box, you are agreeing to provide food/labor for the scheduled event. You are also confirming that you have read and understand the details listed above.
Restaurant Logo Image for Marketing/Communication Purposes
Accepted file types: (jpg, png), Max. file size: 44 MB.
Please share a high-quality logo image that we can use for promotional materials.

Total Dollar Amount In Donated Food	Total Dollar Amount In Donated Labor