JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
申し込みフォーム (事業者様向け)
Application Form for Gambare Niseko Restaurant Coupon
2020年にニセコリゾート観光協会がニセコ町役場より委託を受けて行う「がんばれニセコ‼飲食店応援クーポン事業」に参画を希望する飲食店のための申込フォームです。必要事項を記入後、送信してください。
To participate in this project as a partner restaurant/cafe, please fill out this form and submit.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
店名
*
Name of Your Restaurant/Cafe
Your answer
代表者氏名
*
Name of Business Owner
Your answer
店舗所在地
*
Restaurant/Cafe Address
Your answer
電話番号(数字のみ。ハイフンなし)
*
Phone Number (Numbers only. No "-".)
Your answer
お店のウェブサイト・Facebookページ(あれば)
Website / Facebook Page URL (if any)
Your answer
対応サービス
*
Available Services:
テイクアウト | Takeout
デリバリー | Delivery
配達員が確保できればデリバリーも可 | Interested in providing delivery service but struggling to find staff.
Required
宅配・お弁当の販売について倶知安保健所に相談しましたか?
*
Have you consulted Kutchan Public Health Center (保健所) regarding the hygiene management of delivery/takeout service?
既に相談済み | Yes, we have.
近日中に相談予定 | Not yet, but will contact the public health center soon.
相談する予定はない | No, and we are not interested in contacting the public health center.
おすすめのテイクアウト・デリバリーメニューを3つ教えてください。(税込金額も)
*
Please list 3 items from your takeout/delivery menu and the price (tax inclusive).
Your answer
宅配・持ち帰り条件(あれば)
Delivery/Takeout Conditions . (if any)
Your answer
お客様への一言コメント ※PRコメントとしてクーポン参画事業者マップに掲載されます。
*
Your message to the customers. This will be on the restaurant list which will be distributed to each household in Niseko town with the coupons.
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms