international olive oil competition
3 SOUTHERN HEMISPHERE CHAMPIONSHIP A.NZ.SA. AWARD 2014 RD
APPLICATION FORM
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3rd Southern Hemisphere Olive Oil Championship A.NZ.SA. Awards 2014 TECHNICAL INFORMATION FOR OIL SAMPLES
APPLICATION FORM (one for each sample) (Please complete in typewritten or printed in block letters)
COMPANY DETTAILS :
The undersigned (Name and Surname)______________________________________________________________
Grower
Trading Name of Exhibitor (if applicable)_____________________________________________________________
Commercial name of Oil ___________________________________________________________________________________
Address___________________________________________________City______________________________________
CLASS ENTERED:
Buy olives
Post code________________State/Province________________________Country____________________________ Ph. ___________________________________ Mob. ________________________ Fax ____________________________ E-mail_________________________________________ http://_______________________________________________
Buy olive oil
Processor
Bottler
CLASS 1
CLASS 2 1/A
1/B
1/C
2/A
2/B
2/C
TAX or VAT or Business N°__________________________________________________________________________ COMPANY DETTAILS : Grower
Buy olives
Buy olive oil
Processor
Bottler
AREA OF PRODUCTION:
Entry Fee Calculation & Payment : Number of oils:_______ X AU$ 175.00 =
Country __________________________ State _____________________________
APPLIES TO
Region ___________________________
participation in the 3rd SOUTHERN HEMISPHERE OLIVE OIL CHAMPOINSHIP - A.NZ.SA. 2014 of the sample described above, attaching all documents as required in the General Rules of the Competition
Location of Growe _______________
•
06 bottles of 500 ml. or equivalent quantity in bottles of a different size, for each product submitted.
from which oil was in class 1 and 2 Variety (s)................................%.....
Province__________________________ Variety (s)................................%.....
Area of Olive Grove (ha) __________ Total number of Trees ___________
Variety (s)................................%.....
Age _______________________________
Chemical laboratory report attached no more than 120 days prior to submission. OPTIONAL
YES
NO
That he/she agrees to deliver olive oil samples and complete documentation to the contest secretary prior to September 30, 2014 The undersigned, having read and fully accepted the General Rules of the Competition, specifically declares acceptance of the final judgment of the Jury that will only notify the list of extra virgin olive oils winning prizes and not the list of companies taking part, nor the score assigned to individual samples. That he/she gives consent for the use of information regarding his/her company for the objectives of the contest for promotion and diffusion within and beyond the Australia, European Union and internationally. Attached to this application is:
VOLUME OF THIS OIL PRODUCED LITRES__________________________
______________________________________ _______________________________ Date
Stamp & Signature
receipt of deposit of AU$____________ via direct bank transfer (all bank charges are at the sender’s expense). Please clearly indicate your Company name and make payment to: ________________
For general enquiries, please contact ______________________________________ _______________________________ Date
Stamp & Signature
Secretariat for the competition: Phone: +61 (0) 437 430 974 +61 (0) 403 872 493 Monday to Friday 9.00am – 5.00pm email: armonia.anzsa@oliveoilagency.org www.oliveoilagency.org