Buyer meets Cellar in Italy Application Form Buyer meets Cellar in Italy Registration Form 2017 Please complete this form in as much detail as possible. Please choose one the following attendance options:* Workshop ONLY (23-25 Oct) Registration fee 95 Euros (Only 12 places left!) Workshop + winery visit prog (23-27 Oct) Registration fee 225 Euros (FULL - WAITING LIST ONLY) Title* Mr Ms Mrs Name (1st participant)* First Last Job Title/DepartmentEmail* Name (2nd participant) First Last Note: Additional participants from the same company must cover flight cost and pay extra to cover meal costs provided they share the same room. They must also participate with a separate schedule of meetings. Extra costs are as follows: Workshop: 185 Euros Additional single room: 260 Euros (2 nights) Workshop + Winery Visit Prog: 450 Euros Additional single room: 560 Euros (4 nights) Travel companions are not eligible to attend unless agreed in advance with the organisers.Job Title/DepartmentEmail Company Name* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email* Website Cell Phone Nº**This is required should we need to locate you during the event. This phone number will not be given to producers at the event.Do you have an import license?*If you do not please write We do not require an import license to import wines in (name of country)Year Company FoundedNº of Full-Time StaffTurnover 2016Please specify in Euros.Licences. We are*ImportersDistributors/wholesalersRetailersAgentsWho are your customers?* Distributors/wholesalers Retailers Hotel-Restaurants Internet orders Private customers Total Nº of Imported Bottles 2016*Average order quantity from one supplier (Nº bottles)*Average Nº of Orders from one supplier per year*Please specify if pallets or containersHave you attended a previous edition of Wine Pleasures B2B Workshop?* Yes No If you have answered YES please list the wineries you are working with and/or in negotiations withThis information is for internal use only.Please list a few wineries (name & country) you are already working with*Please list a minimum of 5 you are currently working with other than those you may have listed as a direct result of attending a previous Wine Pleasures B2B WorkshopWhich price range/s are you interested in buying at (ex-works)? up to 5,99 Euros 6 - 11,99 Euros 12 - 17,99 Euros More than 18 Euros Which types of wine are you interested in? Red White Rosé Sparkling Fortified Certified organically produced Aims & Objectives*Please provide information on aims and expectations of the event. Please be as detailed as possible. Please do not write wishy washy aims such as "find wine at a nice price"Registration Fee I will pay:* 95 Euros (Workshop 23 - 25 Oct) 185 Euros (Workshop 2nd person - 23 - 25 Oct) 225 Euros (Workshop + winery visit prog 23-27 Oct) FULL - WAITING LIST ONLY 450 Euros (2nd person Workshop + winery visit prog 23-27 Oct) FULL - WAITING LIST ONLY 15 Euros Invitation Letter If you are NOT paying by credit card please wait for written confirmation of your place(s) which will be emailed to you. If you require an invitation letter for visa application please add 15 Euros admin fee per letter to the chosen registration fee.Payment* By bank transfer to Wine Events Worldwide By Credit Card (Mastrcard & Visa only) If paying by credit card we will only debit your card if we are able to offer you a place. Credit Card HolderExpiry DateCredit Card NºI have read and accept the terms and conditions outlined below* I agree to the terms and conditions 1. GENERAL By completing and submitting the Buyer Application form, the Buyer understands that their registration must be confirmed, in writing by Wine Pleasures, before participation is allowed. Buyers are only guaranteed a place when the non refundable Registration fee of 95 Euros per person (225 Euros if registering to attend the Workshop and Buyer Tour prog) is received. 2. LIABILITY AND INSURANCE Wine Pleasures or the hosting function hotel are not liable for any claim of theft, damage of property, or injury sustained while participation takes place. In the event of cancellation of the programme, or any part thereof, due to civil discord, terrorism, military action or natural events occurring without fault on the part of Wine Pleasures, there shall be no refund of fees paid nor refund of travel costs or expense already incurred in conjunction with your registration in the event. The Buyer is responsible for all travel arrangements and costs incurred but will be reimbursed flight costs upon presentation of an invoice once the event has finished. The maximum amounts payable are as follows: Canada, USA, Central & South America: up to 500 Euros Asia, Australia & NZ: up to 600 Euros Europe: up to 195 Euros. Subsidy rates specified for travel outside Europe are payable for flights arriving/departing within 5 days prior to or upon completion of the event. Should the flight arrival/departure date exceed 5 days prior to or upon completion of the event, then the buyer is only eligible for the max subsidy amount payable for Europe. It is the Buyer's responsibility to secure and pay any fees in relation to a visa for the country where the Workshop is taking place. 3. PARTICIPATION The Buyer understands that their presence is required throughout the duration of the workshop. The Buyer shall not take part in non-Wine Pleasures functions which would preclude their attendance at all published and scheduled Wine Pleasures activities. The Buyer shall also not participate in winery visits or FAM trips sponsored and supported by companies and organisations not actively participating in the Wine Pleasures event. No family members, friends or business partners of the Buyer who are not officially registered shall be admitted to the Workshop unless previously agreed in writing prior to the workshop. The buyer agrees to have secured a minimum of 14 appointments prior to the event taking place and said scheduled should be emailed to the organisers prior to the event. Should the buyer not provide this information no later than 7 days prior to the event then the buyer will not be able to claim for a flight subsidy. If a significant number of scheduled appointments are missed i.e less than the 12 minimum, the buyer will be fully and solely responsible for all flight and hotel accommodation charges. 4. HOTEL ACCOMMODATION Wine Pleasures reserves the right to accommodate buyers at the host hotels for a maximum of 2 nights (or 4 in the case of attending the winery visit programme) and will sponsor meals throughout the event as listed in the event programme. Wine Pleasures requires a current credit card to guarantee the accommodation booking. Any miscellaneous charges (extra night(s), room service, telephone calls, business centre services, etc.) incurred during the Buyer's stay will be at their own expense. A minimum charge of one night accommodation will be applied to any Buyer who does not arrive on the given day 1, without 24 hours prior notice of delay or change to Wine Pleasures from the Buyer. 5. CONCLUDING PROVISION Wine Pleasures shall have full power to interpret and amend the above mentioned terms & conditions which in its discretion shall be in the best interest of the Workshop. The Buyer understands that the information contained in the Workshop material constitutes part of the registration contract, and agrees to conform to all terms & conditions. Should a Buyer fail to comply to Wine Pleasure's terms & conditions in conjunction with participation in a Wine Pleasures Workshop, the buyer will be denied any further participation in any Wine Pleasures hosted events. Any misconduct will also incur that the Buyer will be denied any further participation in any Wine Pleasures hosted events.