Restaurant Signup FormPlease enable JavaScript in your browser to complete this form.Restaurant Name *Restaurant Address (DBA) *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateRestaurant Phone # *Restaurant Email *Website / URLContact Name *Contact Email(if different from above)Contact Phone # *Corporate Name *Corporate Address (if different than DBA)Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeTax ID *Please fill in your EIN or SS.Do you currently have online ordering on your website? *NoYesYes but I would like to change it to RMFWhat is your current DoorDash Rate?You can find this in your dashboard under Settings -> Pricing Plans. If you need help, we can help you.What is your current UberEats Rate?You can find this in your dashboard under Payments -> Payouts. If you need help, we can help you.What is your current Grubhub Rate? You can find this in your dashboard under Financials -> Download the latest Statement and on the right side are your rates. If you need help, we can help you.By checking this box you agree to our Terms and Conditions outlined below and the info you fill in above will pertain to this Agreement. *YesView our Terms & ConditionsAre you interested in a free POS and No Fee Credit Card Processing?YesWebsiteSubmit
