Amateur Winemakers of Canada 2010 National Competition

Class O. Belgian & Wheat Beers Entry Form

Name ______________________________________________________________

Address ____________________________________________________________

City _____________________________________Postal Code_________________

Phone ______________ Fax ________________ Email ______________________

Wine Club __________________________________________________________

Class O. Belgian & Wheat Beers

Subclass & ID#______________________________________________________

Was this beer primarily a) All-Grain____ or b) Extract/Kit _____

If b) please state manufacturer and product name _________________________

____________________________________________________________________

Please identify ingredients, percentages, and suppliers to the best of your ability to assist the judges. __________________________________________________

Please enclose cheque for $10.00 to your provincial representative.