JapanaeJapanese Food and Ingredient Supporter
San Francisco Bay Area
Application for Certification

Date:
Suzuki Marketing Inc.
President: Yuko Suzuki-Bischoff
Organization Name _____________________________________________
Address ______________________________________________________Name and Title_________________________________________________
Signature ____________________________________________________
This application is made with attached documents for the Supporter Store
Application as set forth in the Guidelines for Certification of Japanese Food andIngredient Supporter Stores Overseas.
Application
1. Organization Overview
Organization nameDate ofestablishment
Main businessactivities
Contact
Information/Contact
Representative

Store Name:*Produce a separate list if there are several stores.

Store Address:
Name:
Title:
Corporate Headquaters Address:
TEL:
FAX:
EMAIL:
Website:Information entered on this form will be reported to the Japanese Ministry of Agriculture, Forestry and Fisheries (MAFF) and the operationand management organization Japan External Trade Organization (JETRO) for the operation and a management of the overseas Japanese
produced supporter store certification system.

Japanae2.

Japanese Food and Ingredient Supporter
San Francisco Bay Area
Application for Certification

Reasons for applying (You may select more than one)
☐ To differentiate from other stores by promoting our use of Japanese produced foods☐ To endeavor toward the spread of Japanese-produced foods☐ A business partner introduced the system☐ To endeavor toward promotions in collaboration with the certifying organization☐ To promote information exchange with other supporter stores☐ Other reasons (please write below)3. Merits and distinctions of the store (100 characters or less)
Do you want this to be posted on the MAFF or JETRO website? (☐Yes ☐ No)

4. Requests to the Certifying Organization or JETRO

5. Attached materials(A) Certification check sheet(B) Store pamphlets, menus, pictures (methods of showing that foods are produced inJapan), etc.
(C) Other supporting materials

EndInformation entered on this form will be reported to the Japanese Ministry of Agriculture, Forestry and Fisheries (MAFF) and the operationand management organization Japan External Trade Organization (JETRO) for the operation and a management of the overseas Japanese
produced supporter store certification system.

JapanaeJapanese Food and Ingredient Supporter
San Francisco Bay Area
Application for Certification
Certification Check Sheet

Based on the “Guidelines for Certification of Japanese Food and Ingredient Supporter Stores Overseas”

Check any of the following items that apply and write clearly in the right side column (Separate pages
may be added if there is not enough space). All of the following requirements and prerequisite
conditions must be met to receive supporter store certification.
Business Name:(☐ Restaurant / ☐ Retailer)(A) Do you use/sell Japanese produced foods* at all times?

Food names: *List all☐ Yes / ☐ No(A) Do you display the fact that Japanese-produced foods Display methods: (Attach pictures as needed)
are used on the menu or in the store?
☐ Yes / ☐ No(A) Do you promote the appeal and merits of Japanese
produced food when serving customers?

PR methods:☐ Yes / ☐ No(A) Do you plan to conduct promotions regarding your useof Japanese foods more than two times per year?

How would you promote (or like to promote) youruse of Japanese-produced foods in your business(products, period, methods, etc.)?:☐ Yes / ☐ No(A) Do you intend to increase the volume or variety of Details (items, quantities, etc):
Japanese produced foods you handle?
☐ Yes / ☐ No
*Japanese foods are defined as agricultural, forestry and fishery products that are produced within Japan. For processed foods produced within
Japan, their raw materials which determine the characteristics of such products are Japanese food, and it is used as the main ingredients. TheJapanese food includes Japanese alcoholic beverages manufactured within Japan, and seasonings such as Konbu, Dashi, Shoyu, etc.

< Prerequisite Conditions >☐ This company is not an anti-social force or similar corporation or organization.
☐The executives of this company have not been subject to criminal penalties in the past(including pending cases).
☐ This company has not handled counterfeit goods or disguised the production region of goods).
☐ The Japanese produced food and Japanese produced alcoholic beverages which are certification
conditions are distributed and sold according to the laws of the country in question.
☐There is no problem with disclosing information on our organization on JETRO’s website.
I verify that the matters stated above are true and correct.
Organization name: ___________________________________________________________________________Name and title: _______________________________________________________________________________
Signature:

Information entered on this form will be reported to the Japanese Ministry of Agriculture, Forestry and Fisheries (MAFF) and the operationand management organization Japan External Trade Organization (JETRO) for the operation and a management of the overseas Japanese
produced supporter store certification system.