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Grand Prix Gastronome Registration Form

ENTRY RULES AND CONDITIONS

Please study all pages of the grand prix gastronome.
Entries close and payment must be received by Monday 11 April 2005.
All changes to entries must be in writing prior to Monday 11 April 2005.
No entries will be accepted without payment.
Multiple entry forms are acceptable.

Fill in the registration form for your Entry Name Badge.
A seperate form is required for each person.

Personal Information
Your personal details:
Your Name
(Family name in Capitals) 		*
Postal Address 1 *
Postal Address 2
City / Postal Code *
Home Phone
Mobile Phone
Email Address *
Business Information
What business do you work for/with or what eductional instition do you attend ?:
Eductional Institutes Name
Company Name
Trading Name
 
Manager's Name  
Physical Address 1 *
Physical Address 2
City / Postal Code *
Web Address
Email Address  
Work Phone
Fax Business
Competition Details
I wish to compete in the following class(es) *
Number of classes entered *
Number of extra admission tickets required *
Total Cost (see below) *
Payment required $15.00 per class + $5.00 per extra attendance ticket
Payment Method
(choose One) 		* Bank Transfer
Cheque
by Bank Transfer
to Trust Bank, Hamilton, New Zealand
account IFWF (NZ) Ltd # 03 1559 0068887 00
For payee statement write - in particulars : your " name"; in code : "gastrocomp".
by Cheque
by CHEQUE written to :
IFWF (NZ) Ltd, PO Box 24 114, Hamilton, New Zealand
In signing this application, I agree to the terms and conditions set out by IFWF (NZ) Ltd.
Signed : *
Date : *
  

 



















Copyright © 2005 International Food & Wine Festival. All Rights Reserved ® IFWF (NZ) Ltd
Ph: 0064 7 838 3940. Mob: 0064 25 650 2848. E-mail: beat@ifwf.co.nz 489 Anglesea Street, PO Box 24114, Hamilton, New Zealand

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