Amateur Winemakers of Canada 2010 National Competition

Class I Social Entry Form

Name ______________________________________________________________

Address ____________________________________________________________

City _____________________________________Postal Code_________________

Phone ______________ Fax ________________ Email ______________________

Wine Club __________________________________________________________

Class I. Social

If a major portion of this entry was made from a concentrate/kit, please state name of product, manufacturer, origin, and proportion. Please identify ingredients, percentages, and suppliers to the best of your ability to assist the judges.

Vintage(s)_________________________

Please enclose cheque for $10.00 to your provincial representative.