Restaurant Information

{ binding firstError.message }
{ binding firstError.message }

Customer Information

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Services

I. Web application accessible www.drive-kindness.com and/or

II. Software use will be permitted for restaurant use while a client

III. Driver tracking pages accessed by restaurant owner to market to their consumer directly with own logo. Restaurant keeps all data.

{ binding firstError.message }

Package Premium

Volume Discount Pricing

Fees

Note: Price is $2.00 per order dispatched order to Drive kindness, Delivery fee plus technology fee below

Delivery fee $4.00 that goes to driver 100% plus tip 100% to driver. This fee is paid to driver daily by restaurant owner to PayPal account. Consumer pays delivery fee and tip.

$0.22 per order dispatched to DriveKindness.

Restaurant owner will ask on-line ordering platform or POS to dispatch to Drive-kindness first up to 5 minutes.

{ binding firstError.message }
{ binding firstError.message }

Payment Details & Terms

{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Full payment is due weekly by Monday of following week via ACH Example week ends on Sunday then payment is due next day.

{ binding firstError.message }

Banking Information

 

{ binding firstError.message }

Your data is encrypted and transmitted over SSL through HTTPS.

{ binding firstError.message }
{ binding firstError.message }

 3 year term

{ binding firstError.message }

 If applicable

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

By clicking submit you agree to our TOS.

This Order Form governs your use of the Services. By executing this Order Form or using the Services, you agree to be bound by the Terms of this order form. Term used and not defined herein shall have the meaning set out in this order form. You may terminate this agreement with a 30- day notice for any reason. This agreement is governed by the laws of The State of Florida.

0630201746

Restaurant Information

Restaurant Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Customer Information

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
County {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Services

I. Web application accessible www.drive-kindness.com and/or

II. Software use will be permitted for restaurant use while a client

III. Driver tracking pages accessed by restaurant owner to market to their consumer directly with own logo. Restaurant keeps all data.

{ binding firstError.message }

Package Premium

Volume Discount Pricing

Fees

Note: Price is $2.00 per order dispatched order to Drive kindness, Delivery fee plus technology fee below

Delivery fee $4.00 that goes to driver 100% plus tip 100% to driver. This fee is paid to driver daily by restaurant owner to PayPal account. Consumer pays delivery fee and tip.

$0.22 per order dispatched to DriveKindness.

Restaurant owner will ask on-line ordering platform or POS to dispatch to Drive-kindness first up to 5 minutes.

Customer Initials {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Payment Details & Terms

Contact {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Full payment is due weekly by Monday of following week via ACH Example week ends on Sunday then payment is due next day.

{ binding firstError.message }

Banking Information

Untitled {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Effective Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Introducer {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Date Signed {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Restaurant Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

By clicking submit you agree to our TOS.

This Order Form governs your use of the Services. By executing this Order Form or using the Services, you agree to be bound by the Terms of this order form. Term used and not defined herein shall have the meaning set out in this order form. You may terminate this agreement with a 30- day notice for any reason. This agreement is governed by the laws of The State of Florida.

0630201746

Restaurant Information

Restaurant Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Customer Information

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
County {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Services

I. Web application accessible www.drive-kindness.com and/or

II. Software use will be permitted for restaurant use while a client

III. Driver tracking pages accessed by restaurant owner to market to their consumer directly with own logo. Restaurant keeps all data.

{ binding firstError.message }

Package Premium

Volume Discount Pricing

Fees

Note: Price is $2.00 per order dispatched order to Drive kindness, Delivery fee plus technology fee below

Delivery fee $4.00 that goes to driver 100% plus tip 100% to driver. This fee is paid to driver daily by restaurant owner to PayPal account. Consumer pays delivery fee and tip.

$0.22 per order dispatched to DriveKindness.

Restaurant owner will ask on-line ordering platform or POS to dispatch to Drive-kindness first up to 5 minutes.

Customer Initials {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Payment Details & Terms

Contact {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Full payment is due weekly by Monday of following week via ACH Example week ends on Sunday then payment is due next day.

{ binding firstError.message }

Banking Information

Untitled {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Effective Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Introducer {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Date Signed {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Restaurant Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

By clicking submit you agree to our TOS.

This Order Form governs your use of the Services. By executing this Order Form or using the Services, you agree to be bound by the Terms of this order form. Term used and not defined herein shall have the meaning set out in this order form. You may terminate this agreement with a 30- day notice for any reason. This agreement is governed by the laws of The State of Florida.

0630201746

Cognito Forms{{ Cognito.resources["powered-by-cognito"] }}