FOURTH INTERNATIONAL BARBERA COMPETITION

PARTICIPATION FORM

TO SUBMIT A WINE ENTRY:

·  Please complete this participation form in its entirety.

·  Immediately send a copy by fax to the Competition organizer ASPERIA at +39. 0131 313250.

·  Put the wine samples into a case which is suitable for overseas delivery and insert the following into the case:

o  A copy of the participation form.

o  A copy of a valid Identity Document of the legal representative.

o  Six (6) labels for each wine submitted to the Competition.

·  Affix an obvious label on the box which says “4th BARBERA COMPETITION”

·  Deliver it to the collection center in your country (reception deadline September 20th,2008) or directly to Italy (reception deadline October 15th, 2008) – see details at the end of this form.

COMPANY DETAILS:

COMPANY
COMPANY CONTACT
STREET / NUMBER
CITY / ZIP / STATE
COUNTRY
TELEPHONE / FAX
E-MAIL

ENTRIES (up to 3 per winery):

ENTRY 1

Wine name:
Wine sub-name
Year / Lot
Competition Category 1 / Barbera percentage in the wine / %
Original wine lot composed of / bottles, equivalent to hectoliters

ENTRY 2

Wine name:
Wine sub-name
Year / Lot
Competition Category 1 / Barbera percentage in the wine / %
Original wine lot composed of / bottles, equivalent to hectoliters

ENTRY 3

Wine name:
Wine sub-name
Year / Lot
Competition Category 1 / Barbera percentage in the wine / %
Original wine lot composed of / bottles, equivalent to hectoliters

1 See Art. 3 of the Regulations, indicate # 4 for non-Italian wines

DECLARATION

BEING AWARE of the punitive measures imposed by Italian law concerning false declarations or the use of false data,

I DECLARE:

§  That the wine has the characteristics detailed above.

§  That the samples for each entry are all sourced from the same lot.

§  That the samples for each entry have been taken by the declared company representative (6 bottles for each entry) on behalf of Asperia, organizer of the Fourth International Barbera Competition.

§  That I have read the Regulations of the FOURTH INTERNATIONAL BARBERA COMPETITION and accept them in their entirety.

If an inspection is required to confirm the validity of the statements declared above, the producing company will grant personnel acting on behalf of Asperia access to the winery building for control procedures.

If there is any discrepancy between information declared above and information later verified during control procedures, the winery may face legal consequences and will be excluded from the Competition.

Date…………………………………

Winery Stamp and legible signature of the legal representative

DISPATCH OF SAMPLES AND SUBMISSION OF INFORMATION:

I agree to send 6 bottles of each entered wine to arrive (please place a check-mark in the appropriate box below)

¨  by October 15th, 2008 to ASPERIA, Camera di Commercio di Alessandria, via Vochieri 58, 15100 Alessandria (Italy)

¨  by September 20th, 2008 to the collecting point in

¨  California: VINQUIRY, 7795 Bell Rd., Windsor, CA 95492, Tel. +1 707-838-6312

¨  Australia: PROVISOR, Hartley Grove Urrbrae SA 5064, Tel. +61 8 8303 8702

IMPORTANT: If the collecting point option is chosen,

§  Affix an obvious label to the box which says “4th BARBERA COMPETITION”

§  Provide the personnel at the collecting point with a copy of this participation form