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Restaurant Information Email Address Important for member alerts, news & communications Restaurant Name Corporate Name (if different) Restaurant Address 1 Address 2 City State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC MB NB NL NS NT NU ON PE QC SK YT AG BN BS CH CL CM CP DF DU GR GT JA MC MR MX NA OA PU QE QR SI SL SO TB TL TM VE YU ZA Outside US Outside Canada Outside Mexico Zip County Phone Website Main Contact Copy from Restaurant Information Prefix First Name Last Name Title Address 1 Address 2 City State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC MB NB NL NS NT NU ON PE QC SK YT AG BN BS CH CL CM CP DF DU GR GT JA MC MR MX NA OA PU QE QR SI SL SO TB TL TM VE YU ZA Outside US Outside Canada Outside Mexico Zip Phone Email Additional Email Additional Contacts Contact 1 First Name Last Name Title Email Address Contact 2 First Name Last Name Title Email Address Contact 3 First Name Last Name Title Email Address Contact 4 First Name Last Name Title Email Address Contact 5 First Name Last Name Title Email Address Contact 6 First Name Last Name Title Email Address Contact 7 First Name Last Name Title Email Address Contact 8 First Name Last Name Title Email Address Contact 9 First Name Last Name Title Email Address Contact 10 First Name Last Name Title Email Address Billing Address Copy from Restaurant Information First Name Last Name Address 1 Address 2 City State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC MB NB NL NS NT NU ON PE QC SK YT AG BN BS CH CL CM CP DF DU GR GT JA MC MR MX NA OA PU QE QR SI SL SO TB TL TM VE YU ZA Outside US Outside Canada Outside Mexico Zip Membership Investment Volume of Sales Select one... $15,000,001 & Over $10,000,000 to $14,999,999 $7,000,000 to $9,999,999 $5,000,000 to $6,999,999 $3,000,000 to $4,999,999 $2,000,000 to $2,999,999 $1,000,000 to $1,999,999 Under $1,000,000 Allied Membership Gold Key Premium Enhanced Standard Average Number of Employees Number of Locations Annual Membership Investment Total The contents of this box are for testing purposes. This box will be removed when the form goes live. Volume of Sales Number of Associates Primary Directory Category None Accounting Acoustical Products Advertising Sales & Promotion Air Cleaners/Filters/Purifaction Air Conditioning Systems Appraiser/Restaurant & Bar Architecture Services Art & Design (Advertising) Attorney Awnings Background Music Bakery Bakery Goods Bank Banquet Hall Bar Equipment/Supplies Bar/ Café Bar/Café Bartender Training Beverage Dispensing Beverages/ Alcohol- Free Beverages/Alcohol Beverages/Non-Alcoholic Bistro Breads, Rolls Brewery Buffet Business Brokers Café Cafeteria Cash Registers Caterer Chemicals Chinaware & Glassware Cleaning/Maintenance Equip. Supp.& Svce. Club Coasters Coffee Shop Coffee/Tea Brewing Equipment Commercial Kitchen Commissary Communications Computer Management Systems Computers/Supplies Consultants Consultants-Beverage Control Consultants-Food Safety Consultants-Franchise Consultants-Human Resources Consultants-Restaurant Cooking Equip./Electric & Gas Cooking Oil Recycler Country Inn Credit Card Processing Custom Couture Cleaners Cutlery/Sharpeners/Cutting Boards Dairy Products Deli Delivery Service Design Services Desserts Desserts/Bakery Diner Dinner Cruises Dinnerware Dishwashers/Equipment & Supplies Distillery Distributor Drug & Alcohol Abuse Testing Education Employee Management Systems Services Employment Agencies/Services Energy Management Entertainment Equipment Environmental Eco-Friendly Products Equipment Equipment Repair Ethnic Foods Event Decorating Event Promoters Exterminator Family Restaurant Fast Food Financial Paper Products Financial Services Financing Fire Proofing Fire Protection Fish Farm Flooring Contractor Floral Designs Food Bank Food Brokers Food Inspections Food Products (Complete Line) Food Rescue Foodservice Franchisor Fresh Produce Frozen Foods Furniture General Contractors Generators Gift Certificates Grease Trap Services Guest Checks Healthcare/Medical Heating & Ventilation Hospitality Management Hotel Restaurant Hotel/Motel HVAC Systems-Hoods & Ducts Ice cream Parlor Ice Making/Dispensing Machines Inplant Feeder Institutional Insurance Interior Design Internet Co./On-line Service Investment Counselors Kosher Foods Labor Monitoring Laundry Machinery Equipment Legal Services Lighting Supplies/Electrical Linen Service Liquor Control Systems Live Plants Lounge Magazines Maintenance Management Assistance Programs Management Company Management Software Manufacturing Plant Marketing and Promotion Mats/Matting Meat/Poultry/Game/Provisions Media Menus Merchant Services Mobile Apps Music Music Sound System Napkins/Coasters/Bibs/Placemats Networking Nightclub Non-Dairy Products Nutritional Labeling Online Marketing Online Ordering Outdoor Cleaning Outdoor Fencing P.O.S. Equipment P.O.S. Software Packaging Paging Systems Painting Contractors Paper Products Parking Lot Maintenance Party House Payment Processing Equipment Payroll PEO (HR/Payroll Work Comp/ Benefits) Pest Control Photography Pizza/Supplies & Equipment Pizzeria Place Settings/Silverware Plastic Plumbing Pricing Software Printing & Graphics Promotional Products Propane Public Relations Purchasing Group Real Estate Recycled Kitchen Wastes Refrigeration Reservations Restaurant Restaurant Brokers Restaurant Delivery Service Restaurant Design Restaurant Equipment Restaurant Referral Services Restaurant/Bar Restaurant/Caterer Restoration Retailer Risk Management Services Roofing Safety Supplies Safety Training School Security Systems Seminars Service Contractors Sewer/ Septic/ Pipeline Cleaning Shoppers, Professional Signs Small Business Support Specialty Foods Sprinkler Systems/Inspections Staffing/Staff Training Surveillance Tablecloth Tablecloth/Caterer Take Out Tavern/ Pub Tavern/Pub Tourism Promotion Trade Associations Trade Promotion Training Truckstop Uniforms Utensils Utilities Vehicle Sales Vending Machines Virtual Tours Waste Management Water Purification Water Treatment Services Wholesale Wines/Liquors Workforce Development Additional Directory Categories Select additional directory categories below by holding the "CTRL" key Secondary categories may be subject to additional fees none Additional Items Additional Categories Cost Number of Rooms Number of Seats Enhanced Membership ($50) Tax One-Time Application Fee Full-Time Employees Part-Time Employees Hotel/Motel Rooms Restaurant Seats Additional Associates Additional Associates Cost Additional Locations Additional Locations Cost Volume of Sales Assets Cost Additional Categories Number Of Additional Categories Additional Categories Cost Additional Item 1 Cost Additional Item 2 Cost Additional Item 3 Cost Additional Item 4 Cost Additional Item 5 Cost Additional Item 6 Cost Additional Item 7 Cost Additional Item 8 Cost Additional Item 9 Cost Additional Item 10 Cost Annual Dues (charged to card) Revenue Item Tax (charged to card) Fee (charged to card) Temp Value For DropDown 1 MembershipType Additional Item 2 Additional Item 3 Additional Item 4 Additional Item 5 Additional Item 6 Additional Item 7 Additional Item 8 Additional Item 9 Additional Item 10 Number of Part Time Employees Payment Type Credit Card Check NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks. Additional Information Liquor License Yes No Referred By How did you hear about us? What is your reason for joining? PAC Support Please note that $25 of your dues will go to the NY Restaurant PAC to support those elected officials who support restaurants. Said contribution is voluntary and you may refuse to contribute without effecting your membership rights. Each member of the Association should keep in mind that their $25 contribution to the Association's PAC should be deducted from that organization's contributions limit as directed under the election law. Association dues are not deductible as charitable contributions for federal income tax purposes, but are deductible as an ordinary & necessary business expense. However, 30% of Association dues are allocated to lobbying activities and are not deductible as a business expense. If you do not wish to have this amount of your dues go to NY Restaurant PAC, please check below. Do not contribute $25 to NY Restaurant PAC Credit Card Information Copy from Restaurant Information Credit Card Type MastercardVisaDiscoverAmex Corporate or Personal Select one... Corporate Personal Credit Card Number Name on Card Security Code Expiration Date 01 02 03 04 05 06 07 08 09 10 11 12 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 Use Address Above Address City State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC MB NB NL NS NT NU ON PE QC SK YT AG BN BS CH CL CM CP DF DU GR GT JA MC MR MX NA OA PU QE QR SI SL SO TB TL TM VE YU ZA Outside US Outside Canada Outside Mexico Zip Phone Credit Card Email Address Please click submit only one time. The transaction may take several seconds. Please select a membership type before submitting your application. Please click to view our Privacy Policy/Terms of Use.
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Important for member alerts, news & communications
Please note that $25 of your dues will go to the NY Restaurant PAC to support those elected officials who support restaurants. Said contribution is voluntary and you may refuse to contribute without effecting your membership rights. Each member of the Association should keep in mind that their $25 contribution to the Association's PAC should be deducted from that organization's contributions limit as directed under the election law.
Association dues are not deductible as charitable contributions for federal income tax purposes, but are deductible as an ordinary & necessary business expense. However, 30% of Association dues are allocated to lobbying activities and are not deductible as a business expense.
If you do not wish to have this amount of your dues go to NY Restaurant PAC, please check below.
Please select a membership type before submitting your application.