e-MAG Dine

Dine
Restaurant Submission Form
Restaurants are listed by area

Cut-paste or print this form, then submit by email (electronic mail to dine@dfwnetmall.com) or US Postal Service (pony express to e-MAG, 1106 N. Hwy 360, Suite 205, Grand Prairie, TX 75050)

Name of restaurant ____________________________________________

Type of food served ____________________________________________

Address ____________________________________________

City __________________________ Zip __________________

Price range of entrees: Dinner $________________ to $_______________

Price range of entrees: Lunch $________________ to $_______________

Price range of entrees: Breakfast $________________ to $_______________

Twelve-Word Comments: Use keywords describing uniqueness of restaurant and/or menu.

________________ ________________ ________________ _______________

________________ ________________ ________________ _______________

________________ ________________ ________________ _______________

If you have multiple restaurants with the same name and menu, attach sheet with other addresses. If menu or name of restaurant is different, submit another form.