2020 Application Form Blackwood Valley Wine Show

2020 Blackwood Valley Wine Show

Application for Entry (Maximum of 5 entries per form - to enter more wines please complete another form)
Name of Exhibitor
Contact Name

First Name Last Name
Postal Address (for delivery of documents)

Street Address

Street Address Line 2

City State

Post Code
Phone Number

Area Code Phone Number
E-mail
Producers Licence Number

Entry Details

Entry 1
Class Number
Quantity Made (Cartons except Litres for fortified wines)
Year of Vintage
Wine Region
Is this wine eligible for Boutique trophies (condition 4)

Yes No
Is this wine eligible for Single Vineyard trophies (condition 4)

Yes No
Commercial Name of Wine
Grape Varieties
For Class 1 or 2

N/A Wooded Chardonnay Unwooded Chardonnay
Add another Wine Entry

Yes

Entry Details

Entry 2
Class Number
Quantity Made (Cartons except Litres for fortified wines)
Year of Vintage
Wine Region
Is this wine eligible for Boutique trophies

Yes No
Is this wine eligible for Single Vineyard trophies

Yes No
Commercial Name of Wine
Grape Varieties
For Class 1 or 2

N/A Wooded Chardonnay Unwooded Chardonnay
Add another Wine Entry

Yes

Entry Details

Entry 3
Class Number
Quantity Made (Cartons except Litres for fortified wines)
Year of Vintage
Wine Region
Is this wine eligible for Boutique trophies

Yes No
Is this wine eligible for Single Vineyard trophies

Yes No
Commercial Name of Wine
Grape Varieties
For Class 1 or 2

N/A Wooded Chardonnay Unwooded Chardonnay
Add another Wine Entry

Yes

Entry Details

Entry 4
Class Number
Quantity Made (Cartons except Litres for fortified wines)
Year of Vintage
Wine Region
Is this wine eligible for Boutique trophies

Yes No
Is this wine eligible for Single Vineyard trophies

Yes No
Commercial Name of Wine
Grape Varieties
For Class 1 or 2

N/A Wooded Chardonnay Unwooded Chardonnay
Add another Wine Entry

Yes

Entry Details

Entry 5
Class Number
Quantity Made (Cartons except Litres for fortified wines)
Year of Vintage
Wine Region
Is this wine eligible for Boutique trophies

Yes No
Is this wine eligible for Single Vineyard trophies

Yes No
Commercial Name of Wine
Grape Varieties
For Class 1 or 2

N/A Wooded Chardonnay Unwooded Chardonnay

BLACKWOOD VALLEY WINE INDUSTRY ASSOCIATION

Summary of Entry Details
TAX INVOICE
NOTE:
- This tax invoice is for the entries entered on this form.
- If you need more than 1 form then each form will produce a tax invoice for the entries included in each form.
- Blackwood Valley Wine Industry Association is a not-for-profit organisation and is not registered for GST. Hence GST is not included nor payable on this invoice.
Numbers Attending Exhibitors Only Tasting
Numbers attending Official function
Cost Calculator
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1 Wine Entry $ 35.00 AUD

2 Wine Entries $ 70.00 AUD

3 Wine Entries $ 105.00 AUD

4 Wine Entries $ 140.00 AUD

5 Wine Entries $ 175.00 AUD

Total $ 0.00 AUD
Payment method

Cheque EFT
Any other notes
DECLARATION: This entry is subject to the Conditions of Entry as specified in the Schedule *

I Agree to these terms & conditions
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