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Good Time Charlie's VIP & Promotions List.

Keep connected to your favorite City Events.

Register me to win and receive coupons based on the below dining questions.
Please, fill in only the information you want too.

 

Name

E-mail

Ok I'll tell you a bit more about me.

Street address

Address (cont.)

City List

State/Province

Zip/Postal code

Phone

   

Age Group?

<18 18-2122-3031-4546-6565+

Favorite Cuisine?  Check all that apply?

Asian  American Barbecue Bar & Grill
Bakery\Cafe  Dessert Delis Ethnic
Fast French Italian MexicanPizza
Salad bars  SteaksSeafood Sushi

Most Expensive Bottle of Wine You would order for dinner?

Only By the Glass To $25 To $50
To $75To $100 over 100

I would come to a party that   featured the following  drink type?

Single Malt Scotch Cognac Champagne
Martini Tequilla  Whisky Rum

Do you Smoke?

Yes No Cigars

Do you use Valet Parking?

Yes No

How many typically dine with you when eating out?

Single Two 3-56-10 Over 10

How many times a week do you eat out?

1-3 4-6 7-10 I hate to cook, most

I eat X times out of town a month?

1 2-5 6-10 Over 10
Why do you try a new restaurant? Friends Review Locale Ads Internet
Most important reason you would recommend a restaurant to a friend? Service Location Taste Atmosphere
I like  a _____ Restaurant best ? Trendy Romantic Singles Theme
Family with Music Sports  Casual
Young Adult