"Tabensai restaurant" application form

*Checklist

Comply with relevant laws and regulations The business owner and executives of the establishment do not fall under gang members, etc., and do not have a close relationship

*Store name

*Store name furigana

*Restaurant Location

------ Hiroshima City Fukuyama/Onomichi area Higashihiroshima/Kure/Mihara area Miyajima/Hatsukaichi area Miyoshi/Shobara/Geihoku area

*Store address

Postal Code-
Prefectures
---- Hokkaido Aomori Iwate Miyagi Akita Yamagata Prefecture Fukushima Ibaraki Tochigi Gunma Saitama Chiba Tokyo Kanagawa Prefecture Niigata Toyama Ishikawa Fukui Yamanashi Prefecture Nagano Gifu Shizuoka Prefecture Aichi Mie Shiga Kyoto Osaka Hyogo Nara Wakayama Tottori Shimane Okayama Hiroshima Yamaguchi Tokushima Kagawa Ehime Kochi Fukuoka Saga Nagasaki Kumamoto Oita Miyazaki Kagoshima Okinawa Other
City address

Mansion/building name

*Store phone number

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PR tool shipping address

Please enter if the delivery address of the PR tool is different from the store address.
As PR tools, we plan to send "stickers" and "mini-flavors" with the A Taste of HIROSHIMA logo. The contents of the PR tool are subject to change without notice.Please note. 〒-
Prefectures
---- Hokkaido Aomori Iwate Miyagi Akita Yamagata Prefecture Fukushima Ibaraki Tochigi Gunma Saitama Chiba Tokyo Kanagawa Prefecture Niigata Toyama Ishikawa Fukui Yamanashi Prefecture Nagano Gifu Shizuoka Prefecture Aichi Mie Shiga Kyoto Osaka Hyogo Nara Wakayama Tottori Shimane Okayama Hiroshima Yamaguchi Tokushima Kagawa Ehime Kochi Fukuoka Saga Nagasaki Kumamoto Oita Miyazaki Kagoshima Okinawa Other
City address

Mansion/building name

Store photo

Please upload a jpg or png file.

*Type/Genre

Japanese Western food Chinese Asian/ethnic food Curry Yakiniku/offal Japanese pub/dining bar Creative/international cuisine noodles Vegetarian Vegan Halal Kosher Café/coffee shop Bread/sandwiches Sweets' Bar/pub Okonomiyaki Hotel/Japanese inn souvenirs Lunch box (bento) vendor take out Farmer's market Fresh food market Gluten-free menu available Muslim correspondence English menu available English speakers on staff

*Search by Product

Wagyu beef pork chicken Local fish Oyster Seafood Vegetables fruit Alcoholic beverages Other

*Menus and products using local products

*Name of person in charge

*mail address

*telephone number

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