2020 Application Form WA Single Vineyard Wine Show

2020 Western Australian Single Vineyard 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

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
Should be Empty:

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2020 Western Australian Single Vineyard Wine Show