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ENTRY FORM

1.Company name:*
2.*
3.Mailing Address*
4.Country:*
5.Contact Person:*
6.Email:*
7.Phone:(*Please include country code e.g. +852*
Office
Mobile
8.Website:*
9.Company to submit the Wine / Spirits sample (if different from the above)*
Detail of Wine / Spirits sample
*HKQAA will endorse and list your wine / spirits product based on the below information:
17.ENTRY NO.*
18.Full name of Wine / Spirits (same as on the label including classification,appellation and vintage)*
19.Country of Origin:*
20.Grape Varietal(s) with %:*

21.Recommend Retail Price:*

22.*
23.Alcohol % ABV: *
24.Acidity (gm):*
25.Residual Sugar (gm/litre): *
26.Yearly Production (litre): *
27.Type of barrel: *
28.Period of barrel aging(months):*
29.Category Code:(Please refer to the category list at the back)*
30.Additional Information:(if any)*
31.Next Entry*
.

167.Total Number of Entry:*

168.Total Entry Fee(1 free entry for every 2 paid entries):*

169.*

170.Payment Method:*

IMPORTANT: You won't be able to retrieve the form after submitted, please print before pressing SUBMIT! A copy is required to attach to the samples. Thank you.