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Shiribeshi Sustainable Style Registration Form
Do not use "return" or "renew" button on your browser. The information will not be processed correctly if these buttons are used.
Time-out occurs and all data input will be deleted when there's no connection (when there's no page transition) for 60 minutes .
Save the data if it takes long to complete the form.
ブラウザの「戻る」「更新」ボタンを使用すると正しく処理できませんので、使用しないでください。
※
印は必須項目です。必ずご記入ください。
60分間通信がない(ページ移動がない)場合、タイムアウトとなり入力内容が破棄されます。 ご記入に時間がかかる場合は一時保存をご利用ください。
以下のエラーがあります。
×
Applicant Information
【1】
Corporate Name (only corporations)
(200文字まで)
【2】
Name of Representative
(200文字まで)
【3】
Title of Representative
(200文字まで)
【4】
Name of Person in Charge
※
(200文字まで)
【5】
Title of Person in Charge
(200文字まで)
【6】
Phone Number of Person in Charge
※
(200文字まで)
【7】
Email Address of Person in Charge
※
確認のため再度同じメールアドレスを入力してください。
@
【8】
Postal Code
(200文字まで)
【9】
Address
(200文字まで)
Sightseeing / Retail Facilities (You can regstier up to3 of them.)
【10】
Type of Industry
※
Type of Industry
Accomodation
Eating and Drinking Establishment
Souvenir Shop/Retail Shop
Transportation
Tourism Related Facilities (Activity operator, onsen, etc.)
Travel Agency
Other
【11】
Name of Facility
(200文字まで)
【12】
Address of Facility
(200文字まで)
【13】
Postal Code of Facility
(200文字まで)
【14】
Phone Number of Facility
(200文字まで)
【15】
Official Website URL
(200文字まで)
【16】
Effort Items
※
(11個まで選択可能)
Effort Items
Reduce garbage (recommending tourists to bring personal bottles and travel amenities etc.).
Reduce food loss (provide boxes to take food out, provide small serving/half size menu, etc.).
Use non-plastic products (travel amenities, straws, ect.)
Save energy (utilize heat insulation, recycled energy, LED, etc.)
Save water (Use water-saving shower heads, etc.)
Let tourists staying for multiple nights refuse daily linen change and cleaning services if they want.
Local production and local consumption of food materials of Shiribeshi
Utilize local wood of Shiribeshi
Join local cleaning activities and nature conservation activities
Encourage tourists to join the efforts towards sustainable sightseeing
Other efforts that lead to sustainable sightseeing
【17】
Among the effort(s) you chose above, provide us with especially characteristic efforts you make if there is any.
(9999文字まで)
【18】
Other efforts that lead to sustainable sightseeing
※
(200文字まで)
Reward
【19】
Which reward would you like to receive?
※
Which reward would you like to receive?
Coin Tray
Card Stand
【20】
Can we publish your participation on our website?
※
Can we publish your participation on our website?
Yes
No
【21】
Register another facility
※
Register another facility
Yes
No
【22】
Type of Industry
※
Type of Industry
Accomodation
Eating and Drinking Establishment
Souvenir Shop/Retail Shop
Transportation
Tourism Related Facilities (Activity operator, onsen, etc.)
Travel Agency
Other
【23】
Name of Facility
(200文字まで)
【24】
Address of Facility
(200文字まで)
【25】
Postal Code of Facility
(200文字まで)
【26】
Phone Number of Facility
(200文字まで)
【27】
Official Website URL
(200文字まで)
【28】
Effort Items
※
(11個まで選択可能)
Effort Items
Reduce garbage (recommending tourists to bring personal bottles and travel amenities etc.).
Reduce food loss (provide boxes to take food out, provide small serving/half size menu, etc.).
Use non-plastic products (travel amenities, straws, ect.)
Save energy (utilize heat insulation, recycled energy, LED, etc.)
Save water (Use water-saving shower heads, etc.)
Let tourists staying for multiple nights refuse daily linen change and cleaning services if they want.
Local production and local consumption of food materials of Shiribeshi
Utilize local wood of Shiribeshi
Join local cleaning activities and nature conservation activities
Encourage tourists to join the efforts towards sustainable sightseeing
Other efforts that lead to sustainable sightseeing
【29】
Among the effort(s) you chose above, provide us with especially characteristic efforts you make if there is any.
(9999文字まで)
【30】
Other efforts that lead to sustainable sightseeing
※
(200文字まで)
【31】
Which reward would you like to receive?
※
Which reward would you like to receive?
Coin Tray
Card Stand
【32】
Can we publish your participation on our website?
※
Can we publish your participation on our website?
Yes
No
【33】
Register another facility
※
Register another facility
Yes
No
【34】
Type of Industry
※
Type of Industry
Accomodation
Eating and Drinking Establishment
Souvenir Shop/Retail Shop
Transportation
Tourism Related Facilities (Activity operator, onsen, etc.)
Travel Agency
Other
【35】
Name of Facility
(200文字まで)
【36】
Address of Facility
(200文字まで)
【37】
Postal Code of Facility
(200文字まで)
【38】
Phone Number of Facility
(200文字まで)
【39】
Official Website URL
(200文字まで)
【40】
Effort Items
※
(11個まで選択可能)
Effort Items
Reduce garbage (recommending tourists to bring personal bottles and travel amenities etc.).
Reduce food loss (provide boxes to take food out, provide small serving/half size menu, etc.).
Use non-plastic products (travel amenities, straws, ect.)
Save energy (utilize heat insulation, recycled energy, LED, etc.)
Save water (Use water-saving shower heads, etc.)
Let tourists staying for multiple nights refuse daily linen change and cleaning services if they want.
Local production and local consumption of food materials of Shiribeshi
Utilize local wood of Shiribeshi
Join local cleaning activities and nature conservation activities
Encourage tourists to join the efforts towards sustainable sightseeing
Other efforts that lead to sustainable sightseeing
【41】
Among the effort(s) you chose above, provide us with especially characteristic efforts you make if there is any.
(9999文字まで)
【42】
Other efforts that lead to sustainable sightseeing
※
(200文字まで)
【43】
Which reward would you like to receive?
※
Which reward would you like to receive?
Coin Tray
Card Stand
【44】
Can we publish your participation on our website?
※
Can we publish your participation on our website?
Yes
No
確 認
一時保存
入力途中の内容を一時的に保存します。
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お問い合わせ先
部署名
Commerce, Industry, Labor and Tourism Division Shibribeshi General Subprefectural Bureau
電話番号
0136-23-1365
メールアドレス
shiribeshi.kankou@pref.hokkaido.lg.jp
北海道電子自治体共同システム 電子申請サービス