2017 australian food awards official entry form

2017 AUSTRALIAN FOOD AWARDS
OFFICIAL ENTRY FORM
The Royal Agricultural Society of Victoria Limited
ACN 006 728 785
ENTRIES CLOSE
ABN 66 006 728 785
Return this entry form to: Australian Food Awards
RASV, Melbourne Showgrounds, Epsom Road, Ascot Vale VIC 3032
Ph: 03 9281 7435/7425 Fax: 03 9281 7535/7525
10 February 2017
Use a black or blue pen and clearly print within the boxes in BLOCK LETTERS. Leave one box between words.
PERSONAL DETAILS
COMPANY NAME (as will appear in the Catalogue of Results)
Contact Name
Site Address
Suburb
State
Postcode
State
Postcode
Postal Address
Suburb
Telephone (B/H)
Mobile
Fax Number
Email Address
EXHIBITOR INFORMATION (please tick box )
Help us with our planning of the Australian Food Awards by answering each of the following questions.
Number of employees
 1- 20
 21 - 200
 201+
Annual turnover
 (<$50K)
 ($50K - $200K)
 ($200k - $2m)
Export status
 Currently exporting
 Looking to export in the future
 No intention to export
 ($2m+)
PRIVACY STATEMENT
The information you have provided to The Royal Agricultural Society of Victoria (RASV) will be used to administer your entry in the Australian Food
Awards.
.
We may also use your information to inform you about other RASV events. Tick the box if you do not want to receive this information
CONDITIONS OF ENTRY
I have read the RASV’s General Regulations and Special Regulations in the 2016 Australian Food Awards entry booklet and agree to
be bound by them and to abide by all decisions of the RASV in relation to the competition.
Signature:……………………………………………………………………………………………………
Date……………………………………………….
PLEASE NOTE THAT WE ARE UNABLE TO ACCEPT YOUR ENTRY FORM UNLESS IT HAS BEEN SIGNED
ABN No.
PAYMENT DETAILS
CHEQUE/MONEY ORDER for $ ………………………………. is enclosed.
(to be made payable to The Royal Agricultural Society of Victoria Limited)
SML producer per entry AUD$90 x ______ CREDIT CARD please circle either Visa Or MasterCard for $ ..........................
MED producer per entry AUD$160 x _____ Card No.
LRG producer per entry AUD$210 x _____
Expiry
M M Y Y
The above fees include an AUD$10 admin fee.
Name of Card Holder: ………………………………………………………………………
TOTAL AUD$ ...............................
Signature: ...............................................................................................
Garlic
Closing date: 10 February 2017
Processing fees
+ $10 for every paper entry
or enter online at www.rasv.com.au/Events/RMFF_Home/
1. Exhibit Details
Class number
Product Commercial Brand Name
(to be included in the Results Catalogue)
 Hard Neck Garlic
Type
 Soft neck Garlic
For information on Australian garlic groups and cultivars go to www.australiangarlic.net.au
Garlic Group
 Artichoke
 Asiatic
 Creole
 Glazed Purple Stripe
 Marbled Purple Stripe
 Middle Eastern
 Porcelain
 Rocambole
 Silverskin
 Standard Purple Stripe
 Turban
 Other ………………………
Garlic cultivar
Where is this garlic grown?
Are you a member of the Australian
Garlic Industry Association?
 Yes
 No
2. Production/ Manufacturing
Is this product produced under contract
by or for a third party?
 Yes
 No
Only complete the section below if you have answered ‘Yes’ to the question above.
Contact details for contract producer
(company name and address)
Contact details for retailer /
manufacturer producer
(company name and address)
3. Organic Certification
Is this a certified organic or biodynamic
product?
 Yes
 No
 AUS-QUAL
 ACO - Australian Certified Organics
 Biodynamic Research Institute
 NASAA - The National Association of Sustainable
Who is the certifying body?
Agriculture Australia
 OFC – Organic Food Chain
 Safe Food Production Queensland
 Tasmanian Organic Dynamic Producers
 Other (Specify)
4. Market Availability
 Domestic
In what market is your product available?
 Domestic and Export
 Export Only