PARTICIPANT REGISTRATION FORM

Available and online: www.iwcb.ro

Company:

Company acting as:

Producer Negociant Importer Representative

Other company

Full address:

City:	Postal code	Country

VAT code Yes No

VAT number:

Phone:	Website:

Authorized person name:	Position:

E-mail:

I, the undersigned, Mrs/Mr , acting on my capacity as representative for the above mentioned company, declare that I have read and understood the regulations of the International Wine Contest Bucharest 2016 and I unreservedly accept all the terms and conditions.

Date:	Signature ______________________

I wish to register the following products for the International Wine Contest Bucharest 2016:

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