Restaurant, Retailer & Food Product Registration

Please fill out the form below and click "Submit". If you have questions concerning the Food Allergy Friendly Membership, please contact us here for general inquiries. After submission, a representative will be in contact shortly to discuss the details of your new Food Allergy Friendly Membership! By registering for THE FOOD ALLERGY FRIENDLY NETWORK you are agreeing to our Term of Membership - Thank You

*required fields
CONTACT INFORMATION
*First Name:	Please enter your First Name.
*Last Name:	Please enter your Last Name.
*Phone Number:	Please enter your Phone Number.
Best Means to Contact You:
Best Time to Contact You:
Fax Number:
*Mailing Address:	Please enter your Address.
Ste:
*City:	Please enter your City.
*State:	Please select your state.
*Zip Code:	Please enter your Zip Code.
How did you hear about us?:
*Email Address:	** Your email address will be your username Email Address already registered or empty field.
*Password:
*Verify Password:

COMPANY INFORMATION
*Type of Business	Please choose a business type.
*Company Name:	Please enter your Company Name.
*Number of Locations with same name:	If Food Product enter the number of Products. Please enter the number of Locations.
Offer Code (if applicable):
Sales Rep Code (if applicable):
Membership Level (if known):
Comments/Questions:

Questions or Comments?

What are the Guidelines for Membership?
All applications for Membership are reviewed by Food Allergy Friendly, LLC for specific compliance relevant to the type of Membership being requested. ...
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What can you expect from a Member Restaurant?
When you see the Food Allergy Friendly logo on a restaurant, or find one listed on our Network, you can be assured...
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