Restaurant Signup

First Name *

Last Name *

Title

Contact person for LIRW
(if different from name above)

Name of Restaurant *

Restaurant Address *

City *

County *

Long Island Region Options Nassau
Suffolk

State *

Zip *

Phone *

Area Code First 3 digits Last 4 digits

Contact Cell Phone (if applicable)

Contact Email *

Website address (if applicable)

Have you participated in LIRW before?

Yes or No Yes
No

Where did you hear it was time to sign up? *

Prix Fixe Offerings

Type of Cuisine *

Upload Prix Fixe Menu(s):
(Please name file with LIRW and Name of Restaurant. It must be in PDF format. Menu may be uploaded now OR sent to marketing@longislandrestaurantweek.com.)

Prix Fixe Offerings:

Your restaurant may choose to offer one or several of these options.

We will offer lunch for $22

We will offer dinner for $27

We will offer dinner for $37

We will offer dinner for $44

Enhance Your Restaurant Week Participation

Billing Information

The cost of restaurant week is $449.95 This includes placement on the website, ad materials, social media outlets and publicity outreach.

Same as above

First Name on Card *

Last Name on Card *

Billing Address *

Billing City *

Billing State *

Billing Zip *

Billing Phone *

Card Type *

Card Number *

Security Code *

Expiration Month *

Expiration Year *

6-digit code below:

The following are rules for participating in this promotion. These were created in order to assure fairness among all restaurants involved.

PRIX FIXE RULES:

Participating restaurants MUST offer the the $22 two course lunch prix fixe, $27, $37 or $44 three-course dinner prix fixe all night every night they are open (or during lunch hours) from Sunday to Sunday, except Saturday when it only has to be offered until 7 p.m. Please follow this schedule.

The three-course prix fixes MUSTinclude at least three choices of each course - three appetizers, three entrees and three desserts for dinner, and either three appetizers and three entrees or three entrees and three desserts for lunch.

If you would like to add additional items to your prix fixe menu that are higher priced, you may add them with a supplemental charge. This is provided that there are still at least THREE non-supplemented choices on the menu.

Social Bundle

LIRN Bundle

LIRW Bundle

"All in" Bundle

A La Carte