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Restaurant website link for one year.
$10/month for 1 year $120 annually 
If you have more than 1 location which you would like to link call us at 214-631-0001 
Please print and mail with you current menu or promotional info.

Restaurant Name
Website
Code from website  or Restaurant Address:
First Name
Last Name
Address
City
State
Zip
Country
Phone
Fax
E-Mail
Amount :

Please make out check to
Diskman Software, Inc.
C/O:  PickaRestaurnt.com Link Offer
P.O. Box 586087
Dallas, Texas  75258