Mix and Mingle Form $100 BUSINESS INFORMATIONName of Business(Required)Type of Business(Required) Restaurant Cafe Food Truck Bar Catering Co Bakery Frozen/Confectionary Smoothie/Juice For Food Trucks: Interested in participating in the Food Truck Pop-Up Park, Fri. July 24 I’ll provide 10-day location and hours of operation required Business Phone Number(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code How many locations would you like to add?12345Second Location Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Third Location Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Fourth Location Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Fifth Location Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code WebsiteProvide Gift Card Link (if applicable)Facebook PageInstagram HandleHours of Operation Cuisine Type (Click all that apply) American/Gastro Pub Soul Food/American South BBQ Cajun/Creole Bakery Bar/Cocktails Coffee Shop Cafe Mexican/Central American Caribbean South American Italian/Pizza Greek/Mediterranean North African Sub-Saharan/African Central Asian/West Asian Indian Chinese Japanese/Sushi Thai Vietnamese/Pho Continental German/Eastern European Food Truck Fusion Fine Dining/Haute Cuisine Seafood Steakhouse Gluten Free Vegan/Vegetarian Halal Kosher Confectionary/Frozen Smoothie/Juice Other Service Options Dine-In Curbside Takeout Delivery Amenities Family Friendly Accessible Environment Patio Dining/Seating PRIMARY CONTACT Please provide primary and secondary contact persons who will be responsible for all elements of Birmingham Restaurant Week including: Menu submission Attending BRW restaurant information meeting (Date & Time TBD) Marketing collateral distribution Communicating BRW details to staff and servers Primary Contact Name(Required) First Last Primary Contact TitleOwner | Operations Manager | GM | Chef | Director Food & Beverage | Hospitality Manager | Marketing/Communications Primary Contact Email Address(Required) Enter Email Confirm Email Primary Contact Cell Phone(Required)Please do not provide business phone number for this person. Secondary Contact Name(Required) First Last Secondary Contact Email Address(Required) Enter Email Confirm Email Secondary Cell Phone Number(Required)Please do not provide business phone number for this person. BRW MENU PRICE POINT We are continuing to give participants the ability to tailor their menus and price points to highlight new or existing menu specialties. You have the option to do 2 items instead of 2 courses for breakfast or lunch and 3 items instead of 3 courses for dinner. Restaurant Week menus must range in price from $5 to $60 with increments of $5. It is our hope that this flexibility will prove to be a more successful Restaurant Week for you. With this structure, we are also encouraging consumers to patronize BRW businesses more than once – whether it’s drinks and shared plates with friends or a three-course dinner date. Menu items can include drinks, appetizers, shared plates, entrees, sides or desserts. Examples Breakfast: Coffee and Croissant Lunch: Appetizer and Entrée Lunch: Appetizer, Entrée and Dessert Dinner: Glass of Wine or Cocktail, Entrée and Dessert Dinner: Appetizer, Entrée, Dessert and Wine or Cocktail Dinner: 2 Glasses of Wine and Shared Plate Bar: Featured Wine, Beer and Cocktails Breakfast/Quick Bite Price Points – per person for 2-item prix fixe menu (snack and/or entree or beverage) $10 – $15 per person Lunch/Casual Price Points – per person for 2 or 3-item prix fixe menu (drink, appetizer, entree and/or dessert) $10 – $25 per person Dinner Price Points – per person for 3-item prix fixe menu (appetizer, entree, dessert or beverage) $20 – $45 per person Signature Price Points – per person for 3-item prix fixe menu (appetizer, entree, dessert or beverage) $30 – $60 per person Bar Price Points Dollar amounts are up to owners based on drink menus Price points exclude tax and tip. PREVIEW PARTYAre you interested in participating in the Preview Party on Tuesday, July 28?(Required)Participants must provide food for up to 250 attendees. Participation in BRW Preview Party is limited to 15 establishments selected at the discretion of the organizers based on variety of food to be served. If selected, we'll refund the sign-up fee. Yes No Beverages Participants must agree to work with BRW 2026 tea, soda, beer, wine and liquor sponsors to offer a variety of drink specials in some capacity. For example, incorporate any add-on wines, cocktail, beer, coffee, tea or soda for an additional cost to your BRW menu or as part of your BRW prix fixe menu.NOTE: Beverages from companies not associated with BRW CANNOT be highlighted on BRW menus.(Required) AGREE Orientation If you have never participated in Birmingham Restaurant Week before, sign up to attend an informational meeting to learn how to craft your BRW menus and be introduced to important, helpful sponsors. Time and date TBD.Promotions Free Food Friday Gift Card Giveaways All participating restaurants, bars and food trucks are required to provide at least one (1) gift card of $20 to $50 for social media promotional giveaways before and during Restaurant Week. Restaurants are encouraged to donate as many cards as possible to get additional promotion. Please mail or drop off gift cards to Style Advertising, 3617 8th Ave. S., Birmingham, AL 35222 three to five business days after registration is completed. Electronic gift cards can be emailed to info@bhamrestaurantweek.com. Gift card winners cannot use the gift cards during BRW. I will provide gift cards and drop them off or mail them to Style Advertising within three to five business days after registration. Promotions Agreement(Required) AGREE BloggerAre you willing to offer one free meal from your BRW menu to a food blogger and/or influencer during Restaurant Week? This will provide your restaurant, bar or food truck with added exposure in the form of blog and/or social media content. Yes No MEDIA OPPORTUNITIESAre you or someone from your business interested in extra exposure by participating in media opportunities such as TV or radio segments? Yes No YELPYELP: Would you or your restaurant owner be interested in filming a short “Meet the Owner” social media video with Yelp? Yes No TERMS & CONDITIONS Birmingham Restaurant Week is not just about offering discounted meals – it’s a signature culinary promotion that impacts and benefits the entire Birmingham culinary community. Locals and visitors alike will share their experiences at BRW which will further enhance our city’s growing reputation as one of the nation’s hottest culinary destinations. As such, it is imperative that participating restaurants, bars and food trucks adhere to the BRW promotion standards that reflect excellence in: Level of Service Diversity of Menu Quality of Ingredients Overall Experience As a BRW Participant, you agree to the following: Offer a prix fixe Restaurant Week menu for either breakfast, lunch and/or dinner. Agree to print and provide to ALL guests a Restaurant Week menu during the 10-day event. Agree to display Restaurant Week marketing materials as soon as they are made available. Agree to have at least one representative from your establishment attend a required restaurant meeting (date and location TBD) or watch a video of the meeting. * I agree to the Birmingham Restaurant Week Terms & Conditions above.(Required) AGREE BRW IMPACT SURVEYData helps us craft events that are better for you. After BRW ends, an impact survey will be emailed to all participants to elicit input, feedback, obtain data for sponsors and to calculate the economic impact of this event to the area surrounding cities. AGREE PaymentBirmingham Restaurant Week Price: Number of locations012345Processing Fee Price: Total Credit Card(Required) Cardholder Name Card Details