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
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