Restaurant Name
    Contact Person
    Restaurant Address
    Restaurant Phone
    Restaurant Email
    Restaurant Website
    Best time to reach you at:
    (If not specified, we will contact you between 2PM - 4PM)
    Have you had a Nutritional Analysis of your Menu, or specific Menu Items done within the past 12 months?
    Will you need more than 6 Certified Menu Items?
    Are you interested in a new Healthy Menu created?
    Additional Information
    If available, please attach menu, Upload file here

    *Certified Menu Showcases: Has everything in the Standard Membership, yet menu items are Certified & chosen by a Registered Dietician in Canada. When you apply for this Certified Membership, a Registered Dietician will reach out to you via your phone and email to schedule a call to look at your menu and verify the healthiest menu items for your HDO showcase. Please expect a phone call or email within 3 business days of your filling out our Contact Form. You may also choose to work with the Registered Dietician to create a New Healthy Menu for your Business.

    Mealshare initiative: For every new paid Menu Showcase purchased, Healthy Dine Out will donate $5 to Mealshare – an organization aimed at ending youth hunger! With your contribution we will be finding sustainable solutions for hunger in our communities!