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Are you a …

-1 = Please select one

1 = Independent Pizza Operator

2 = Franchise Pizza Operator

3 = Chain Pizza Operator

4 = Food Industry Manufacturer/Supplier

5 = Chef/Educator/Training Professional

6 = Food Dealer/Distributor

7 = Opening a Pizzeria

8 = Pizzeria Employee

9 = Pizza Deliverer/Gig Worker

10 = Pizza Enthusiast

99 = Other

Please specify:

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First Name:

Last Name:

Title:

Company:

Address 1:

Address 2:

City:

State:

-1 = Select state

AL = Alabama

AK = Alaska

AS = American Samoa

AZ = Arizona

AR = Arkansas

CA = California

CO = Colorado

CT = Connecticut

DE = Delaware

DC = District of Columbia

FL = Florida

GA = Georgia

GU = Guam

HI = Hawaii

ID = Idaho

IL = Illinois

IN = Indiana

IA = Iowa

KS = Kansas

KY = Kentucky

LA = Louisiana

ME = Maine

MD = Maryland

MA = Massachusetts

MI = Michigan

MN = Minnesota

MS = Mississippi

MO = Missouri

MT = Montana

NE = Nebraska

NV = Nevada

NH = New Hampshire

NJ = New Jersey

NM = New Mexico

NY = New York

NC = North Carolina

ND = North Dakota

OH = Ohio

OK = Oklahoma

OR = Oregon

PA = Pennsylvania

PR = Puerto Rico

RI = Rhode Island

SC = South Carolina

SD = South Dakota

TN = Tennessee

TX = Texas

AA = US Military(AA)

AE = US Military(AE)

AP = US Military(AP)

UT = Utah

VT = Vermont

VI = Virgin Islands

VA = Virginia

WA = Washington

WV = West Virginia

WI = Wisconsin

WY = Wyoming

State/Province:

-1 = Select province

AB = Alberta

BC = British Columbia

MB = Manitoba

NB = New Brunswick

NL = Newfoundland

NS = Nova Scotia

NT = Northwest Territories

NU = Nunavut

ON = Ontario

PE = Prince Edward Island

QC = Quebec

SK = Saskatchewan

YT = Yukon Territories

State/Province:

ZIP Code:

Phone:

Mobile:

Email Address:

Company URL:

Job Title:

-1 = Please select one

1 = Owner

2 = CEO

3 = Partner

4 = President

5 = Vice President

6 = Store Manager

7 = Office Manager

8 = Supervisor

9 = Assistant Manager

10 = Director of Operations

11 = Chef

12 = Marketing Manager

13 = Industry Vendor

99 = Other

Job Title:

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Is there anyone else at your company that you'd recommend getting PMQ?

First Name:

Last Name:

Title:

Email:

How many pizzeria locations are in this ownership group?

What year was your pizzeria established?

Would you like to list your pizzeria(s) in the National Pizza Registry

Other

Question 3: Where would you like pizza consumers to be sent to place online orders?1
2
3
4

1 = Send them directly to my POS system through my online ordering link

2 = Send them to my preferred online ordering partners as identified in the next question

3 = Send them to my preferred online ordering partner

4 = I don’t have online ordering, please refer them to my phone number

Provide Link/Number:

Other:

Enter Facebook Link

Enter Twitter Link

Enter Instagram Link

Enter LinkedIn Link

Enter Google+ Link

Enter TikTok Link

Enter SnapChat Link

Other:

Question 8: The one pizza or food specialty your restaurant is best known for:

Other:

Question 11: Do you have an existing pizza loyalty program? 1
2
3

1 = Yes, please create a free listing for consumers to register for my program through PizzaRewards.com

2 = No, I don’t plan on getting one

3 = No, but I would like to offer one

Question 12: Would you consider providing a free pizza as an incentive to register more new customers?1
2
3

Other:

Question 15: Do you have video content that you would like to share with pizza consumers?1
2

Provide Link:

Question 16: Does your pizzeria have a tagline? If so, please list it here: