Wine Pleasures B2B Workshop in Italy Application Form Wine Pleasures B2B in Italy 2019 Application Form Please choose an attendance option and then complete the form as fully as possible. Please tick one attendance option only. Please choose one of the following attendance options:* Workshop only (21 - 23 October) Registration fee €95 Workshop + winery visit prog (21 - 25 October) Registration fee €395 FULL - Waiting list only Name (1st participant)* First Last Attendee direct Email* Enter Email Confirm Email Direct Phone Nº with country codeJob Title/DepartmentName (2nd participant) First Last Note: Two persons from the same company may attend provided they share the same room and provided they make a separate meeting schedule. 2nd person same company is not eligible for flight subsidy. Extra costs for the 2nd person are as follows: Workshop only: €195 Workshop + winery visit programme: €495 Additional single room for Workshop €350 and for Workshop + visit prog €540. Travel companions: €350 Workshop or €540 Workshop + visit progJob Title/DepartmentCompany/Organisation* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Website* Please make sure you put http:// before the web site address otherwise the form will not send.Do you have an import license?*If you don't need one for your country just put NOT NEEDED.Year Company FoundedNº of StaffDo you belong to a group or chain? If yes please provide detailsTurnover 2018 (€)Please specify approx amount in EurosLicences. We are*ImportersDistributors/wholesalersRetailersAgentsWho are your customers?* Distributors/wholesalers Retailers Hotel-Restaurants Internet orders Private customers Monopoly Total Nº of Imported Bottles 2018*Average order quantity from one supplier (Nº palets)*Please specify number of paletsAverage Nº of Orders from one supplier per year(Nº Palets)*Please specify number of paletsHave you attended a previous edition of a Wine Pleasures B2B Workshop?* Yes No If Yes then please list the producers you have placed orders withWineryCountry Please list a few wineries (max 7) you are working with*WineryCountry Click on the add button to add new rowsWhich 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 Vinager Aims & Objectives*Please provide information on aims and expectations of the event. Please do not be wishy washy such as saying to "to add more wines to our portfolio"Registration Fee/s I will pay:* €95 (Workshop Only) €395 (Workshop + winery visit prog) €195 (2nd person Workshop only) €495 (2nd person Workshop + winery visit prog) €350 Travel companion duration Workshop €540 Travel companion Workshop + visit prog €30 (Letter of Invitation for Visas) If you are NOT paying by credit card please wait for written confirmation of your place(s) which will be emailed to you. In the case of registereing a second person please note that you will need to share the same room. For an additional single room please see terms and conditions Day Visitor registrations do not entitle you to flight subsidy, accommodation and dinners. Includes lunch.Payment* By bank transfer to Wine Pleasures By Credit Card (Mastrcard & Visa only) Credit card details (Visa or Mastercard only)Credit card holderCredit Card NºExpiry date Please note we only debit your credit card with the registration fee if we are able to offer you a place. I 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 per person (€350 if registering to attend the both the Workshop + visit 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 but no later than 30 days after event completion after which date the buyer will no longer be eligible for payment of subsidy. The maximum amounts payable are as follows: Canada, USA, Central & South America: up to €500 Asia, Australia & NZ: up to €600 Europe: up to €185 Caucasia, India, Russia, Middle East: up to €300 Subsidy rates specified for travel outside Europe are payable for flights arriving/departing within 3 days prior to or upon completion of the event. Should the flight arrival/departure date exceed 3 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 15 appointments prior to the event taking place. If a significant number of scheduled appointments are missed, 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. This iframe contains the logic required to handle Ajax powered Gravity Forms.