2018 Wine Entry Form
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ENTRY FORM / PŘIHLÁŠKA 2018 2018Wine 2018Entry Wine Form WINE COMPETITION NEW YORK Entry Form Winery Name: ______________________________________________________________________________________________ Winery Name / Název vinařství ............................................................................................................... Your Name: _________________________________________________________________________________________________ Winery PrincipalName: __ _/_ Zastoupené______________ (jméno)_________ ................................................................................................................___________________________________________________________________ TitleTitle: _/_ _Funkce________ _ .....................................................................___________________________________________ _Phone_______ _/_ _Tel___ ..................................................__________________________________ Your Name: _________________________________________________________________________________________________ E-mailSignatur e....................................................................................: ___________________________________________________ _ _ _ _ _.........................................................___________________________________.........________ Title: __________ _____________________________________________________________________________________________ US FDA reg. No.A .................................................................LL WINES MUST ARRIVE NO LATE R T H A N APRIL Signature 20, 2018. / Podpis Informace o registraci US FDA na zvláštním listě Signature:_____F_or__ _competition____________ &_ billing_______ questions________ _call___ Ron____ Dougherty:___________ _585-414-8279______________ |_ ron@_____r_aiseaglassfoundation.com_____________________ ALLF WINESor shipping MUST questions ARRIVE call John Cordeiro: NO LATER 585-770-1022 THAN | john@ APRILraiseaglassfoundation.com 20, 2018. For competition & billing questions call Ron Dougherty: 585-414-8279 | ron@raiseaglassfoundation.com If paying byF corhe shippingck or mone questionsy order, pleas ecall ma kJohne pay abCordeiro:le to: RAIS E585-770-1022 A GLASS FOUND A| Tjohn@raiseaglassfoundation.comION We alsForo ac ccompetitionept credit cards: & shipping MASTERC AdetailsRD in Central VISA Europe write to Lubos Barta | redakce@e-sommelier.cz TOTAL WINES ENTERED CARD # – – – Winery Address / Adresa vinařství .......................................................................................................... Card Security Code: ________________________ Expires ____/____ _____ x $55.00 USD ZIP / PSČ ................................. City / Město .......................................................................................... Print Cardholder Name: ____________________________________________________________________ = $_______________ Country of Origin / Stát ........................................................................................................................... Cardholder Signature: ______________________________________________________________________ Send four (4) bottles Web Site / Internetová adresa: http:// ....................................................................................................of each entry IČO: ............................................. DIČ DPH ......................................................... Plátce ANO / NE Winery Address: _____________________________________________________________ Apt./Suite: ___________________ PŘIHLÁŠKU VYPLNĚNOU VE VŠECH KOLONKÁCH ZAŠLETE NEJPOZDĚJI 20. BŘEZNA 2018 City: _(nikoli_______ _dubna_______ _-___ musí____ ještě______ _doletět________ _do___ Ameriky!)_____ ST/P naRO Vadresu:_______ _redakce@e-sommelier.cz.___ Zip/Postal Code: _________________ Winery CAodundretrsys Nao: f_ O_ úhradu_ri_g_in_:_ _______ startovného______________________________ _a_ ___přepravy__________________ _obdržíte___________ _tuzemskou _ _W__e_b_ S__ite_:_ __ _fakturu_ _ _ _ _ Ap___t ._/Su_ _daňový_it_e_: _____ _doklad._________ _______________ Nereagujte na žádné další výzvy k platbě, které mohou být automaticky generovány City: ________________________________________________ ST/PROV:___________ Zip/Postal Code: _________________ Phone: _____________po___ přijetí_______ vaší Fax :_přihlášky_________ __počítačovým___________ Esystémem-mail: ______ _pořadatele!__________________________________ Country of Origin: _________________________________________ Web Site: _________________________________________ MAIL COMPLETED ENTRY FORM & CHECKS TO: COMPETITION & BILLING QUESTIONS: Phone: _______________________ Fax:_______________________ E-mail: _________________________________________ Raise A Glass Foundation Ron Dougherty, Chief Judge 1170 Ridge Rd, Suite 345 585-414-8279 | ron@raiseaglassfoundation.com Webster, NY 14580 SHIPPING QUESTIONS: MAIL COMPLETED ENTRY FORM & CHECKS TO: COMPETITIONJohn Cordeiro, & BILLING Quality Assurance QUESTIONS: R aise ASHIP Glas sWINE Foun TO:dation R on Dough585-770-1022erty, C hief J |u djohn@ge raiseaglassfoundation.com 1170 RRidagisee R Ad ,G Slausitse F3o4u5ndation 585- 414- 8279 | ron@raiseaglassfoundation.com 763 Linden Avenue, Suite 2 FAX COMPLETED ENTRIES TO: 585-484-1184 Webster, NY 14580 SHIPPING QUESTIONS: Rochester, NY 14625 John Cordeiro, Quality Assurance SHIP WINE TO: 585-770-1022 | john@raiseaglassfoundation.com Rai se AThe G lorganizer,ass F ou RAISEndat iAo nGLASS FOUNDATION, has chosen InterVol, a New York State based non-profit as the beneficiary of this year’s Wine Competi- 763 Lintion.d en InterVol’s Avenu emission, S uit eis 2simple: to recover unused viable medical suppliesFAX from COMPLETED hospitals and ENTRIES distribute TO: them to those585-484-1184 who need them the most. To date, InterVol has aided people in more than 70 countries around the world! Let us know if you have a good charity idea! We´re ready to help! Roch ester, NY 14625 2018 ENTRY CLASS LISTING Please choose correct category! If you have any questions on the category, please call Ron Dougherty at 585-414-8279. White Blush / Pink / Rose / Orange Sparkling 101 — Blanc du Bois 201 — Dry Rose (0-0.99% RS) 401 — White Sparkling 102 — Brianna 202 — Semi Dry Rose (1.0-2.99% RS) 402 — Blush/Rose Sparkling 103 — Cayuga 203 — Sweet Rose (3.0+% RS) 403 — Red Sparkling 104 — Chardonel 210 — Orange (Extended maceration) 404 — Dessert Sparkling 105 — Chardonnay Red 405 — Sparkling Ice Wine 106 — Chenin Blanc 301 — Baco Noir 406 — Fruit Sparkling 107 — Diamond 302 — Barbera 108 — Edelweiss 303 — Brunello Dessert Wines 109 — Frontenac Gris 304 — Cabernet Franc 501 — Madeira 110 — Gewurztraminer 305 — Cabernet Sauvignon 502 — Port 111 — Gruner Veltliner 306 — Carmenere 503 — Tawny Port 112 — La Crescent 307 — Catawba 504 — Sherry 113 — Malvasia 308 — Chambourcin 505 — Vintage Sherry 114 — Muscadine 309 — Concord (*Please Identify entries 506— 510) 115 — Muscat 310 — Frontenac 506 — Late Harvest White (24 Brix+)* 116 — Muscat Canelli 311 — Gamay Noir 507 — Late Harvest Red (24 Brix+)* 117 — Niagara 312 — Lemberger 508 — Icewine* 118 — Petit Manseng 313 — Leon Millot 509 — Frozen Off the Vine* 119 — Pinot Blanc/Weissburgunder 314 — Malbec 510 — OTHER Dessert Wine* 120 — Pinot Gris/Pinot Grigio 315 — Marechal Foch 121 — Riesling — Dry 316 — Marquette Fruit Wines 122 — Riesling — Semi Dry 317 — Meritage 601 — Apple 123 — Riesling — Semi Sweet 318 — Merlot 602 — Ice Cider 124 — Riesling — Sweet 319 — Muscadine (Noble) 603 — Blackberry 125 — Sauvignon Blanc 320 — Nebbiolo 604 — Blackcurrant 126 — Seyval Blanc (Seyval) 321 — Noiret 605 — Blueberry 127 — St. Pepin 322 — Norton (Cynthiana) 606 — Cherry 128 — Torrontes 323 — Petite Sirah 607 — Cranberry 129 — Traminette 324 — Petit Verdot 608 — Peach 130 — Valvin Muscat 325 — Pinot Noir 609 — Pear 131 — Verdelho 326 — St. Vincent 610 — Strawberry 132 — Vidal Blanc 327 — Sangiovese 611 — Raspberry 133 — Vignoles (Ravat 51) 328 — Shiraz/Syrah (*Please Identify entries 650 & 660) 134 — Viognier 329 — Tempranillo 650 — OTHER Fruit Varieties* (*Please Identify entries 150 — 170) 330 — Zinfandel 660 — Fruit Blend* 150 — Other White Varietal — Vinifera* (*Please Identify entries 350 — 370) 155 — Other White Varietal — Non-vinifera* 350 — Other Red Varietal - Vinifera* Others 160 — White Blend — Vinifera* 355 — Other Red Varietal - Non-vinifera* 701 — Hard Cider 165 — White Blend — Non-vinifera* 360 — Red Blend - Vinifera* 702 — Mead 170 — White Blend — Vinifera + Non-vinifera* 365 — Red Blend - Non-vinifera* 703 — Flavored Mead 704 — Flavored Grape Wines 370 — Red Blend - Vinifera + Non-vinifera* POKYNY K VYPLNĚNÍ PŘIHLÁŠKY: MAIL COMPLETED ENTRY FORM & CHECKS TO: RKategoriiaise A Gl avybertess Foun dz atabulky.tion Drtivá většina našich vín bude v ka- SAMPLE ENTRY 1tegorii170 Ri d150ge R (bílá)d, Su resp.ite 34 5350 (červená), protože pocházejí z jiných odrůd ENTRY #1 Entry Class# ____________121 Wviniferyebster, -N FrankovkyY 14580 jsou 312, Svatovavřinecká 326. Slámovky 510. Ron’s Riesling SHIPMuškát WINE moravský TO: 115. Wine Name: _______________________________________________________________ RDoais erubriky A Glas „Názevs Foundat vína“ion napište přesně to, co je na etiketě. Celník Appellation: ___ _Seneca_________ _Lake_________________________________________ nerozumí vínu, ale umí porovnat nápisy. Nepřekládejte do cizího 763 Linden Avenue, Suite 2 Estate / Vineyard / Other Designation: ____ __________________________________________________________________