Cafe Photo Submission Form
Submit your cafe-related photos along with your contact details and a brief description.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Visit to the Cafe
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Which location did you visit?
*
Please Select
Main Street Cafe
Riverside Cafe
City Center Cafe
Mall Kiosk
Other
Photo Category
*
Food or Beverage
Cafe Interior
Cafe Exterior
Staff
Event or Gathering
Other
Photo Title
*
Photo Description (include any special details or story behind the photo)
Upload Your Photo
*
Upload a File
Drag and drop files here
Choose a file
Cancel
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How may we use your photo?
Social media
Website gallery
In-cafe displays
Promotional materials
Other
Would you like to be credited if your photo is used?
*
Yes, please credit me by name
No, I prefer to remain anonymous
Submit Photo
Should be Empty: