2025 Participating Restaurant

Account Registration

Restaurant Name *

Best Contact First Name *

Who is the best point of contact for event communications (usually the manager on duty the night of the event)

Last Name

Email of Best Contact Indicated Above

Phone of Best Contact

What is the best phone number for event communications? (The restaurant general line is not usally the best number.)

Name of Additional Participating Restaurants

If you have more than one location, please write the names and locations of all participating restaurants

Would you like a volunteer ambassador in your restaurant on the night of the event? (Yes/No) *

Volunteer Ambassadors answer questions about the fundraiser and encourage guests to support WNCAP's mission

DOFL Materials inside Restaurant *

Table Tents

Event Poster

Event Info "postcard" to include with Bill Presenters or Receipts

Please indicate materials you'd like to have in your restaurant on event day (please check all that apply.)

Restaurant Participation History

2018

2019

2020

2021

2022

2023

2024

Would you like to be included in this year's Dining Out For Life Print Restaurant Guide published as an insert in Mt Xpress' first April issue? (Yes/No) Inclusion is based on first come, first serve *

If you answered "YES" to this question, please email a pdf of your restaurant logo to bcrawford@wncap.org

Data Privacy & Consent

Yes, I would like to receive text messages from Western NC AIDS Project, Inc..

Have an account? Log in

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.