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Help Us Help Others                   
Low Carb Chef
By sending your recommendations, we are building a database for those people both new to your area and those new to the diet. We love being able to offer you a place to check in before making travel plans here and there, so being in an unfamiliar place doesn't have to mean having nowhere to find great low-carb food! Your help is very much appreciated!

Our input form allows for four restaurant entries. Have more than four restaurants you want to recommend for your area? You can either fill out the form multiple times, or drop us an e-mail with the additional information. Thanks!

Let's Get Started!
Your Name:

Your Email:


* NOTE: Do NOT hit [ENTER] after any field!
In some browsers this will cause the form to "send" immediately.


I want the restaurant review/recommendation(s) to include my name as reviewer:
Yes No
I want the restaurant review/recommendation(s) to include my email:
Yes No

My Area of Residence:

City:

State:



  RESTAURANT RECOMMENDATION #1:

Name of Restaurant:

Location of Restaurant:

Low-Carb Friendly menu choices:

Additional Comments on this Restaurant:


REMINDER: Do NOT hit [Enter] after any field!
(Use your "tab" or mouse click down to new field.)
In some browsers hitting [Enter] will cause the form to "send" immediately.


  RESTAURANT RECOMMENDATION #2:

Name of Restaurant:

Location of Restaurant:

Low-Carb Friendly menu choices:

Additional Comments on this Restaurant:


REMINDER: Do NOT hit [Enter] after any field!
(Use your "tab" or mouse click down to new field.)
In some browsers hitting [Enter] will cause the form to "send" immediately.


  RESTAURANT RECOMMENDATION #3:

Name of Restaurant:

Location of Restaurant:

Low-Carb Friendly menu choices:

Additional Comments on this Restaurant:


REMINDER: Do NOT hit [Enter] after any field!
(Use your "tab" or mouse click down to new field.)
In some browsers hitting [Enter] will cause the form to "send" immediately.


  RESTAURANT RECOMMENDATION #4:

Name of Restaurant:

Location of Restaurant:

Low-Carb Friendly menu choices:

Additional Comments on this Restaurant:

REMINDER: Do NOT hit [Enter] after any field!
(Use your "tab" or mouse click down to new field.)
In some browsers hitting [Enter] will cause the form to "send" immediately.


 
Remember, if you have more than 4 Restaurants you want to recommend for your area, you can either fill out the form multiple times, or drop us an e-mail with the additional information. Thanks!







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