To Register your Takeaway complete this form and click on the Submit button:

Contact Details

Title:
First Name:
Initial:
Surname:

Takeaway Details

Name:   
Address Line 1:   
Address Line 2:   
Address Line 3:   
Town/City:   
Post Code:   
Telephone No:   
Fax No:   
Email:   
Type: 
 Burger Bar  Chicken
 Chinese  Fish and Chips
 Indian  Italian
 Kebab  Mexican
 Pizza Parlour  Sandwich Bar
 Spanish  
Other please specify:
  
Home Delivery: 
 Yes
 No
Delivery Terms:    e.g. Free 5 mile radius

Picture and Menu
If you send us a picture of your takeaway and your menu, we will display them
on your details page. Use the fields below to send the file(s).

Picture: 
Menu: 

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