2019 Western Australian Boutique Wine Show
Application for Entry (Maximum of 5 entries per form - to enter more wines please complete another form)
WS Index
Wine Show
Alternative Variety ?
Yes
No
Name of Exhibitor
Contact Name
First Name
Last Name
Postal Address
Street Address
Street Address Line 2
City
State
Post Code
Phone Number
-
Area Code
Phone Number
E-mail
Producers Licence Number
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Entry Details
Entry 1
Class Number
Quantity Made
Year of Vintage
Please Select
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
Non-vintage
Wine Region
Please Select
BV
Geo
GS
Man
MR
Peel
Pem
PH
SV
Other
Is this wine eligible for Blackwood Valley trophies (condition 4)
Yes
No
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
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Entry Details
Entry 2
Class Number
Quantity Made
Year of Vintage
Please Select
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
Non-vintage
Wine Region
BV
Geo
GS
Man
MR
Peel
Pem
PH
SV
Other
Is this wine eligible for Blackwood Valley trophies
Yes
No
Is this wine eligible for Boutique trophies (condition 4)
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
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Next
Entry Details
Entry 3
Class Number
Quantity Made
Year of Vintage
Please Select
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
Non-vintage
Wine Region
BV
Geo
GS
Man
MR
Peel
Pem
PH
SV
Other
Is this wine eligible for Blackwood Valley trophies
Yes
No
Is this wine eligible for Boutique trophies (condition 4)
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
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Next
Entry Details
Entry 4
Class Number
Quantity Made
Year of Vintage
Please Select
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
Non-vintage
Wine Region
BV
Geo
GS
Man
MR
Peel
Pem
PH
SV
Other
Is this wine eligible for Blackwood Valley trophies
Yes
No
Is this wine eligible for Boutique trophies (condition 4)
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
Back
Next
Entry Details
Entry 5
Class Number
Quantity Made
Year of Vintage
Please Select
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
Non-vintage
Wine Region
BV
Geo
GS
Man
MR
Peel
Pem
PH
SV
Other
Is this wine eligible for Blackwood Valley trophies
Yes
No
Is this wine eligible for Boutique trophies (condition 4)
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
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Next
Attendance Details
Numbers Attending Exhibitors Only Tasting
Numbers attending Official function
Cost Calculator
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( X )
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
1 Official Function Ticket
$
30.00
AUD
2 Official Function Tickets
$
60.00
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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