2013 Denver International Wine Competition OFFICIAL ENTRY FORM Wines may be delivered 6/1 to 8/28/2013

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1 2013 Denver International Wine Competition OFFICIAL ENTRY FORM Wines may be delivered 6/1 to 8/28/2013 Winery Main contact Address Telephone Address 2 Fax City Website URL State Zip Code Contact We are interested in receiving exhibitor information for the 2013 Denver International Wine Festival Grand Tasting on Friday November 8, WINE ENTRY FORM DEADLINE: AUGUST 28, 2013 Wine name Cat Vintage Varietal Appellation RS Suggested Retail $$

2 Wine name Cat Vintage Varietal Appellation RS Suggested Retail $$ NOTE: Please copy this page if you wish to enter more wines. QUANTITY OF WINES BEING SUBMITTED FOR JUDGING: COMPETITION ENTRY FEES- Sliding Scale based on quantity QTY COST 1-Wine $ Wines $60.00 ea. 3-Wines $55.00 ea. (Best Value! 3 or more wines $55 each entry) Total Fee Amount: $ Fee Enclosed Fee Mailed Payment by Credit Card (Form attached) Payment by Company Check Note: All checks should be drawn to WINE COUNTRY NETWORK, INC

3 Please enclose your payment with a copy of this form in your wine shipment. Mark the carton that contains your entry forms Entry Form Enclosed. Or if you prefer, mail your payment with this completed form to: Wine Country Network, Inc, PO BOX 6023, Broomfield, CO USA Please submit your entry forms in advance of your wine shipment via fax to NOTE: You must ship us 4- bottles per entry Please ship 4-bottles of 750ML still/ sparkling wine per entry to: SHIPPING ADDRESS: Tyler Augustine- DIWC Wine Country Network, Inc 2356 Dogwood Drive, Erie, CO Tel Important Shipping Dates Ship your wine to arrive at our Colorado location during this period: June 1 to August 28, 2013 Late Entry Deadline: Wines must be received by August 28, 2013

4 Pairsine, The Taste of Elegance Chefs Food & Wine Pairing: The Denver International Wine Competition provides added exposure for it s Gold medal winners with our exclusive Pairsine Chefs Food & Wine Pairing event at the Denver International Wine Festival. Industry professionals including Top Chef Season 5 Winner Hosea Rosenberg and Top Chef Contestant Chef Kelly Liken judged our 2011 Taste of Elegance Competition. This generates terrific local and national media exposure for your wines. RULES AGREEMENT: If any of the above registered wines win a GOLD MEDAL, I (wine producer/entrant) agree to supply additional bottles (18-24) of at least one Gold Medal winner for pouring at the Denver International Wine Festival Taste of Elegance on November, All Gold Medal winery winners will receive up to 2 complimentary trade passes and are encouraged to attend and pour their Gold Medal wines at the event. If a representative of the winery is not available, the Denver International Wine Festival will provide a volunteer to pour your behalf. If any wines are left over from the Pairsine competition, our winery agrees to donate them to our 2013 Charity of Choice, Share Our Strength. Note: Wines will be used in silent & live fundraising auctions. I understand and agree to the rules of 2013 The Denver International Wine Competition. X Applicant Signature Date Print Name Telephone Number Title Does your winery currently have a Colorado Distributor? Yes NO If Yes: Distributor: Main Contact:

5 CREDIT CARD BILLING FORM Please complete this form to set-up billing on a credit card. Company Name: Your Name: Credit Card Billing Address (This must be same as on your bill) Name: First Middle Last (As it reads on card) Address: City: State: Zip Code: Tel. Address: (Charges will be confirmed by ) American Express (_) VISA (_) Master Card (_) Discover (_) CC number: Expiration Date: CCV Code: I AUTHORIZE WINE COUNTRY NETWORK, INC TO CHARGE MY ABOVE CREDIT CARD FOR MY ENTRY FEES. X DATE Authorized Signature

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