First step: Submit Entry Form
Entry Form

●Please fill in the following frame.
Please input all your data in half size alphanumeric characters
Mark "*" means to be required data.

●Caution :
1. Please do not use alphabet with accent
2. Entry Form and payment must be received at the latest by Wednesday 30th June 2010.
3. Please indicate where shown which payment method is selected.
4. Please complete the Entry Form and Wine Forms carefully - the information provided will be used or
all subsequent certificates and write-ups in the Japan WINE Challenge magazine.
5. Please show full company details/address and contact name where indicated.

Company Name *
ContactName (Mr./Ms.) *
Address *
Country *
Postcode *
TEL-including international code *
FAX-including international code *
E-Mail *
E-Mail(Once more for confirmation) *
Website
Type of Company (Winery/Importer/Other) *	(Other )
How many wines will you enter? *

1-10
wines@25,000yen per wine = Total: 0yen (A)

more
0wines@20,000yen per wine = Total: 0yen (B)

Total(A+B) = 0yen

Please tick the appropriate box*
By Bank Transfer(to include all Bank Charges)
*Please do not forget to add bank charge when you transfer enter fee.
By Credit Card

Japan Wine Challenge
TME Bldg. 1-9-10
Higashinihonbashi, chuou-ku, Tokyo,
Japan 103-0004
Tel: 813.5825.9177
Fax: 813.5825.2789