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2. 
4. Restaurant Sign-Up Form

   Any Homer Glen restaurant is welcome to participate in Homer Glen Restaurant Week, January 27 – February 10, 2026

   Requirements:

   • Restaurant must be in Homer Glen.
   • Restaurant must offer an EXCLUSIVE discount and/or prix-fixe menu for Homer Glen Restaurant Week (not offered any other time).
   • All fields are required.
6. Restaurant Name:*
8. Restaurant Address:
10. City
11. State
12. Zip
14. Restaurant Website:*
16. Phone Number:*
18. Restaurant/Dish Photo:*

    Please upload a high-resolution HORIZONTAL photo. Please avoid just sending a logo. Use this opportunity to showcase one of your delicious dishes/drinks or a view of your restaurant.

20. Homer Glen Restaurant Week Special/Discount/Prix Fixe Menu Details:*
22. Take-out & Delivery Options*

    Please let us know if your offer is valid for take-out and/or delivery options.

    1. Yes, my offer is valid for take-out (including phone orders)
    2. Yes, my offer is valid for delivery orders
    3. NO, my offer is not valid for take-out or delivery
24. Restrictions?

    Will your discount or special menu have any restrictions such as: certain days of the week, certain times of the day (lunch only, dinner only, etc.)?

26. Owner/Manager Name:*

    This information is for Village staff use, only to contact you with questions/updates – it will not be shared with the public.

27. Owner/Manager Email:*
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field