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:ENTRY FORM
Q1:Company name:
Producer
Winery
Importer
Negotiant
Marketing
Agency
Q2:[Q2]
    ____________
Q3:Mailing Address
    ____________
Q4:Country:
    ____________
Q5:Contact Person:
    ____________
Q6:Email:
    ____________
Q7:Phone:(*Please include country code e.g. +852)
Office    ____________
Mobile    ____________
Q8:Website:
    ____________
Q9:Company to submit the Wine / Spirits sample (if different from the above)
Yes
No
Q10:Company name:
Producer
Importer
Negotiant
Marketing
Agency
Winery
Q11:[Q11]
    ____________
Q12:Mailing Address:
    ____________
Q13:Country:
    ____________
Q14:Contact Person:
    ____________
Q15:Email:
    ____________
Q16:Phone:(*Please include country code e.g. +852)
Office    ____________
Mobile    ____________
:Detail of Wine / Spirits sample*HKQAA will endorse and list your wine / spirits product based on the below information:
Q17:ENTRY NO.
    ____________
Q18:Full name of Wine / Spirits (same as on the label including classification,appellation and vintage)
    ____________
Q19:Country of Origin:
    ____________
Q20:Grape Varietal(s) with %:
    ____________
Q21:Recommend Retail Price:
US$
EURO
HK$
Q22:[Q23]
    ____________
Q23:Alcohol % ABV:
    ____________
Q24:Acidity (gm):
    ____________
Q25:Residual Sugar (gm/litre):
    ____________
Q26:Yearly Production (litre):
    ____________
Q27:Type of barrel:
    ____________
Q28:Period of barrel aging(months):
    ____________
Q29:Category Code:(Please refer to the category list at the back)
    ____________
Q30:Additional Information:(if any)
    ____________
Q31:Next Entry
Yes
No
Q32:ENTRY NO.
    ____________
Q33:Full name of Wine / Spirits (same as on the label including classification,appellation and vintage)
    ____________
Q34:Grape Varietal(s):
    ____________
Q35:Country of Origin:
    ____________
Q36:Recommend Retail Price:
US$
EURO
HK$
Q37:[Q38]
    ____________
Q38:Alcohol % ABV:
    ____________
Q39:Acidity(gm):
    ____________
Q40:Residual Suger(gm/litre):
    ____________
Q41:Yearly Production (litre):
    ____________
Q42:Type of barrel:
    ____________
Q43:Period of barrel aging(months):
    ____________
Q44:Category Code:(Please refer to the category list at the back)
    ____________
Q45:Additional Information:(if any)
    ____________
Q46:Next Entry
Yes
No
Q47:ENTRY NO.
    ____________
Q48:Full name of Wine / Spirits (same as on the label including classification,appellation and vintage)
    ____________
Q49:Grape Varietal(s):
    ____________
Q50:Country of Origin:
    ____________
Q51:Recommend Retail Price:
US$
EURO
HK$
Q52:[Q53]
    ____________
Q53:Alcohol % ABV:
    ____________
Q54:Acidity (gm):
    ____________
Q55:Residual Sugar (gm/litre):
    ____________
Q56:Yearly Production (litre):
    ____________
Q57:Type of barrel:
    ____________
Q58:Period of barrel aging(months):
    ____________
Q59:Category Code:(Please refer to the category list at the back)
    ____________
Q60:Additional Information:(if any)
    ____________
Q61:Next Entry
Yes
No
Q62:ENTRY NO.
    ____________
Q63:Full name of Wine / Spirits (same as on the label including classification,appellation and vintage)
    ____________
Q64:Grape Varietal(s):
    ____________
Q65:Country of Origin:
    ____________
Q66:Recommend Retail Price:
US$
EURO
HK$
Q67:[Q68]
    ____________
Q68:Alcohol % ABV:
    ____________
Q69:Acidity (gm):
    ____________
Q70:Residual Sugar (gm/litre):
    ____________
Q71:Yearly Production (litre):
    ____________
Q72:Type of barrel:
    ____________
Q73:Period of barrel aging(months):
    ____________
Q74:Category Code:(Please refer to the category list at the back)
    ____________
Q75:Additional Information:(if any)
    ____________
Q76:Next Entry
Yes
No
Q77:ENTRY NO.
    ____________
Q78:Full name of Wine / Spirits (same as on the label including classification,appellation and vintage)
    ____________
Q79:Grape Varietal(s):
    ____________
Q80:Country of Origin:
    ____________
Q81:Recommend Retail Price:
US$
EURO
HK$
Q82:[Q83]
    ____________
Q83:Alcohol % ABV:
    ____________
Q84:Acidity (gm):
    ____________
Q85:Residual Sugar (gm/litre):
    ____________
Q86:Yearly Production (litre):
    ____________
Q87:Type of barrel:
    ____________
Q88:Period of barrel aging(months):
    ____________
Q89:Category Code:(Please refer to the category list at the back)
    ____________
Q90:Additional Information:(if any)
    ____________
Q91:Next Entry
Yes
No
Q92:ENTRY NO.
    ____________
Q93:Full name of Wine / Spirits (same as on the label including classification,appellation and vintage)
    ____________
Q94:Grape Varietal(s):
    ____________
Q95:Country of Origin:
    ____________
Q96:Recommend Retail Price:
US$
EURO
HK$
Q97:[Q98]
    ____________
Q98:Alcohol % ABV:
    ____________
Q99:Acidity (gm):
    ____________
Q100:Residual Sugar (gm/litre):
    ____________
Q101:Yearly Production (litre):
    ____________
Q102:Type of barrel:
    ____________
Q103:Period of barrel aging(months):
    ____________
Q104:Category Code:(Please refer to the category list at the back)
    ____________
Q105:Additional Information:(if any)
    ____________
Q106:Next Entry
Yes
No
Q107:ENTRY NO.
    ____________
Q108:Full name of Wine / Spirits (same as on the label including classification,appellation and vintage)
    ____________
Q109:Grape Varietal(s):
    ____________
Q110:Country of Origin:
    ____________
Q111:Recommend Retail Price:
US$
EURO
HK$
Q112:[Q113]
    ____________
Q113:Alcohol % ABV:
    ____________
Q114:Acidity (gm):
    ____________
Q115:Residual Sugar (gm/litre):
    ____________
Q116:Yearly Production (litre):
    ____________
Q117:Type of barrel:
    ____________
Q118:Period of barrel aging(months):
    ____________
Q119:Category Code:(Please refer to the category list at the back)
    ____________
Q120:Additional Information:(if any)
    ____________
Q121:Next Entry
Yes
No
Q122:ENTRY NO.
    ____________
Q123:Full name of Wine / Spirits (same as on the label including classification,appellation and vintage)
    ____________
Q124:Grape Varietal(s):
    ____________
Q125:Country of Origin:
    ____________
Q126:Recommend Retail Price:
US$
EURO
HK$
Q127:[Q128]
    ____________
Q128:Alcohol % ABV:
    ____________
Q129:Acidity (gm):
    ____________
Q130:Residual Sugar (gm/litre):
    ____________
Q131:Yearly Production (litre):
    ____________
Q132:Type of barrel:
    ____________
Q133:Period of barrel aging(months):
    ____________
Q134:Category Code:(Please refer to the category list at the back)
    ____________
Q135:Additional Information:(if any)
    ____________
Q136:Next Entry
Yes
No
Q137:ENTRY NO.
    ____________
Q138:Full name of Wine / Spirits (same as on the label including classification,appellation and vintage)
    ____________
Q139:Grape Varietal(s):
    ____________
Q140:Country of Origin:
    ____________
Q141:Recommend Retail Price:
US$
EURO
HK$
Q142:[Q141]
    ____________
Q143:Alcohol % ABV:
    ____________
Q144:Acidity (gm):
    ____________
Q145:Residual Sugar (gm/litre):
    ____________
Q146:Yearly Production (litre):
    ____________
Q147:Type of barrel:
    ____________
Q148:Period of barrel aging(months):
    ____________
Q149:Category Code:(Please refer to the category list at the back)
    ____________
Q150:Additional Information:(if any)
    ____________
Q151:Next Entry
Yes
No
Q152:ENTRY NO.
    ____________
Q153:Full name of Wine / Spirits (same as on the label including classification,appellation and vintage)
    ____________
Q154:Grape Varietal(s):
    ____________
Q155:Country of Origin:
    ____________
Q156:Recommend Retail Price:
US$
EURO
HK$
Q157:[Q158]
    ____________
Q158:Alcohol % ABV:
    ____________
Q159:Acidity (gm):
    ____________
Q160:Residual Sugar (gm/litre):
    ____________
Q161:Yearly Production (litre):
    ____________
Q162:Type of barrel:
    ____________
Q163:Period of barrel aging(months):
    ____________
Q164:Category Code:(Please refer to the category list at the back)
    ____________
Q165:Additional Information:(if any)
    ____________
Q166:Next Entry
Yes
No
:Please submit another Entry Form with continuous Entry No.
:.
Q167:Total Number of Entry:
    ____________
Q168:Total Entry Fee(1 free entry for every 2 paid entries):
US$
EURO
HK$
Q169:[Q168]
    ____________
Q170:Payment Method:
Bank Transfer
PayPal
:Bank: The Hong Kong andShanghai Banking Corporation LtdBank Code: 004Account name: Asia WineInstituteAccount no.:813-358355-838Swift Code: HSBCHKHHHKH*Pleaseinclude bank charges and email the payment proof to sally@awsa-sommelier.com
:A link will be emailed toyou for payment soon. PayPal is a simple, integrated and easy-to-setuppayment service via credit cards. For details please visit www.paypal.com
:IMPORTANT: You wont be able to retrieve the form after submitted, please print before pressing SUBMIT! A copy is required to attach to the samples. Thank you.
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