Online Food Ordering Software Technology for Restaurants
Sign up Live Demo A 3-Minute Tour Customer Sign in
Online Food Ordering Software Technology Solution for Restaurants
Partner Sign Up Form

To enroll in the MealClick Partner Program, complete this application and submit it. You must be an established business servicing restaurants or have formerly serviced restaurants in order to be considered for our partner program.

All Fields Are Required Unless Specifically Marked Otherwise

GENERAL INFORMATION:
Company Name 
Contact Name 
Title 
DBA (if any)  Optional
Street Address 
Street Address 2  Optional
City 
Country 
State/Province  Zip Code 
Phone # (direct line)  (us: xxx-xxx-xxxx)
Phone # (corporate)  (us: xxx-xxx-xxxx)
Phone # (cell)  (us: xxx-xxx-xxxx)
Fax #  (us: xxx-xxx-xxxx)
Email Address 
Confirm Email 
Website Address 
Login/User Name 
Password  (Minimum 6 Alphanumeric Characters)
Password Confirm  (Minimum 6 Alphanumeric Characters)
 
PARTNER YEARLY FEE: $0.00 - was $900.00
# of Restaurant Customers 
# of New Restaurant Customers Aquired/Month 
# of sales people? 
Years in Business? 
Target Market 
Areas Currently Servicing 

How do you plan on introducing customers or prospects to MealClick?
Direct Sales Presentations
External Sales Force MealClick Provided Materials
Website  Other: 

How do you market to your customer base?
Word of mouth referrals Direct Mailing
Local listing of businesses Email Marketing
Publications Cold Calling

What type of customized marketing materials would you like from us?
PowerPoint Presentations Brochures
 Other: 
 
How many MealClick subscriptions can you sell/refer each quarter? 




Terms and Conditions      I have read and agree to all the terms and conditions

I certify that I have provided complete and accurate responses to all the items on this form. I am an authorized signer of the above stated entity. My signature certifies the accuracy and completeness of the information provided.

Please enter your name below as you would sign an official signature
Signature 
 

Please verify all your information then click the SIGN UP button. You will receive a confirmation email with further instructions and information.