47627 Lakeview Blvd., Fremont.

CA 94538
support@way.com, Phone: 408-598-3338, Fax: 888-781-8138

Way Customer Service: 408-598-3338

For Billing questions please contact: payments@way.com
For Dining questions please contact: dine@way.com,

Restaurant Name: The Blue Light Owner/Decision Maker(s) :

Restaurant Address: 1979 Union Street, San Francisco, CA 94123 Owner Email Address:

Owner Cell Phone No:

Restaurant Phone No : 415-939-9040

RESTAURANT CONTACT DETAILS

Preferred method of Order Confirmation(Fax/Email/Phone)

Phone Number for Order Confirmation

Fax Number for Order Confirmation

Email Address for Order Confirmation

Restaurant Manager (Full Name)

Restaurant Manager Email

Restaurant Timings (Normal) Changed Restaurant Timings ( If any due to COVID)

Monday Monday

Tuesday Tuesday

Wednesday Wednesday

Thursday Thursday

Friday Friday

Saturday Saturday

Sunday Sunday

Menu Details( Please do make sure you provide us with an link or copy of an English Language Menu)

Restaurant Website Address

Link to Restaurant Menu ( If link is Not Available, please do

attach the updated menu(pdf) while returning this form)

PAYMENT DETAILS
Payment method (circle one): Check

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CHECK DETAILS

Payable To:

This payment is authorized by me to be paid to:

Name of the payee:
Signature:

Mailing Address:

ACH DETAILS

Name of Business Account: Email to share bank transfer details:

Account Address: Method to send monthly statement: Email Fax

Bank Name:

Routing Number:

Business Checking Account Number:

SIGNATURE: DATE:

SIGNATURE: DATE:

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