Restaurant Information Form
Update Your Madison Area Restaurant Information. We need your help in order to keep your restaurant's information up-to-date!

All entries in RED must be completed or we can not update your restaurant's information. Please answer all questions!

Name
Title
Organization
Street Address
Address (cont.)
City
Zip/Postal Code
Work Phone
FAX
E-mail
URL

Please choose one cuisine type that would describe your restaurant's offering:

  Pick One African American Asian Bagels Bar & Grill Barbecue Brew Pub Brewery Cajun Caribbean Chinese Coffee House Continental Deli Eclectic French German Greek Indian Italian Japanese Korean Mediterranean Mexican Middle Eastern Pizza Pub Russian Sandwiches Seafood Soul Food South American Spanish Sports Bar Steaks/Chops/Prime Rib Supper Club Swiss Thai Vegetarian Vietnamese

What area are you located in?

  Pick One Downtown East Far East Far West Fitchburg Middleton Monona Near East Near South Near West North South Southwest West -------- Black Earth Cambridge Columbia County Cottage Grove Cross Plains DeForest Edgerton Mazomanie McFarland Mount Horeb Oregon Stoughton Sun Prairie Verona Waunakee Windsor

Are Reservations accepted?

Yes No

Are Credit Cards accepted?

Yes No

What is the price range per meal?

  Pick One Under $10 $10 - $15 $15 - $20 Over $20

What days and hours are you open for business?

Do you have banquet or party facilities?

Yes No

Do you offer entertainment?

Yes No

Do you have special handicapped access?

Yes No

Which meals do you offer?

Breakfast
Lunch
Dinner

Do you serve Sunday Brunch?

Yes No

Do you serve a Friday Fish Fry?

Yes No

Do you offer Vegetarian Entrees?

Yes No

Do you have Heart Healthy offerings?

Yes No

Do you offer Carry Out?

Yes No

Do you provide Catering Services?

Yes No

Do you offer Delivery Services?

Yes No

Please tell us about any awards you may have won:

Please add any notes or special comments:

Are you interested in more information on the services that Madison Dining On Line can offer?

Yes!  Contact me with more information!