Alliance for Positive Health

2023 Dining Out For Life® Restaurants

Restaurant Registration

* Organization Name

* Email

* Phone

* My restaurant will participate in the 19th Annual Dining Out For Life® event on Thursday, April 27, 2023:

* My restaurant will donate the following percentage of our food & beverage sales on Thursday, April 27, 2023:

* My restaurant will participate for (Check all that apply. Flat Fee Participants, please choose "Flat Fee"):

* My restaurant will also donate the above-indicated percentage of alcohol sales (Flat Fee Participants, please select "No"):

In addition to food and beverage sales, my restaurant will donate 100% of the sales of the following item(s) on 4/27/23 (ie. specialty cocktail, appetizer, etc.):

* Contact Info

* Address

* City

* State

* Postal Code

20th Annual Dining Out For Life

Dining Out For Life is back and celebrating our 20th year!

THURSDAY, APRIL 27, 2023

Each year the Alliance For Positive Health partners with over 50 national organizations to support individuals throughout Northeastern New York living with HIV / AIDS.

We kindly ask for your continued support as we celebrate 20 years of Dining Out and Ending HIV. Please complete the questions to the right and one of our Development associates will reach out to you shortly after receiving your submitted form.

If you require any assistance or would like to ask us a question, please contact Jonny at: JPuglia@Alliancefph.org.

Downloads

Restaurant Partnership Form