Apply for the Urbani Academy Truffles Grant

Urbani Academy Truffle Grant Program
c/o Colangelo & Partners
26 West 23rd Street, 4th Floor
NY, NY 10010

email: submissions@urbanigrant.com

fax: 646-624-2893

Applying Chef

Name:
Title:

Restaurant Information

Name:
Address:
City:
Address:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code:
Phone:
Fax:
Website:
Email:
Chef Email:

Distributor of Reference (where applicable)

Company Name:
Sales Rep Name:

Recipe

Recipe Name:
Paste recipe here:
-or Upload here:

Questionnaire

Are you familiar with the Urbani Brand? If yes, what do you know about them?

Do you or have you used Urbani products, fresh, frozen or preserved? If so, how do you use them?

On average over a 12 month period how many dishes do you offer with truffles (please specify fresh, frozen or preserved)?