Membership Form

Full Payment ($600) must be paid in full online by TBD

Late payments will NOT be accepted and by default must go A La Carte.

Any outstanding payments may jeopardize eatBing membership.

Restaurant Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Website*
Restaurant Description*
Please select all events you would like to participate in. Price will not change based on which/how many events you attend.
Full Cost
Events*
Please select all events you would like to participate in. Price will not change based on which/how many events you attend.
- Spring Restaurant Week
- Fall Restaurant Week
- Wine & Tapas
- Martini Walk
- Beer & Bites
- Small Business Saturday
CTA Hello Binghamton Book Discount
✔
Any New Event in Calendar Year
FREE
Promoted on social media all year
✔
Featured on website all year
✔
Featured on any additional print marketing
✔
Opportunities to be promoted on local media
✔
Representation at University Fest
✔
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Restaurant Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Website
A La Carte Membership Plan (Select)*
- Spring Restaurant Week
- Fall Restaurant Week
- Wine & Tapas
- Martini Walk
- Beer & Bites
Product Name
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name