Samples – Food and Drink Japan

Samples are not for sale but for sample use ONLY.

Regarding alcoholic samples: Alcohol distribution laws vary from state to state. An adult signature is required upon delivery.

Step 1 of 2

Company / Organization(Required)

Company Website(Required)

Business / Industry Category(Required)

Please Describe

Year of Establishment / Foundation

Number of Employees

Capital

Annual Turnover

Products / Goods of Sale

Let us know what products / goods your company is involved with.

Please estimate the percentage of sales by each customer group below.

Business

hotels, restaurants, food manufacturers, wholesalers, etc

Retail

supermarkets, department stores, eCommerce, etc

Have you ever handled any Japanese food products?(Required)

Please let us know the kind of products, volume, name of Japanese suppliers, etc.(Required)

Name(Required)

First Last

Title

Email(Required)

Tel.(Required)

Fax

Mobile

Shipping Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Referred By(Required)

Products You are Requesting (Product Code – Product Name – Company Name)(Required)

Please write the code and name of each product you are requesting along with the manufacturer/company name. Unfortunately, we cannot process incomplete requests and there is no guarantee the samples you are requesting will be available. Thank you for understanding.

Please estimate the percentage of sales by each customer group below.

Los Angeles Showroom

Chicago Showroom