XXIV CONCORSO INTERNAZIONALE LEONE D’ORO DEI MASTRI OLEARI APPLICATION FORM (TO BE FILLED IN BLOCK LETTERS) THE UNDERSIGNED (SURNAME AND NAME)_______________________________________________________________________ AS HOLDER/LEGAL REPRESENTATIVE OF THE FIRM _____________________________________________________________ TOWN_________________________________________________________________POST CODE ____________________________________ ADDRESS_______________________________________________________________________________________________________________ VAT N°.______________________________________ PHONE_____________________________FAX ____________________________E-MAIL____________________________________________ PRODUCER OF THE EXTRA VIRGIN OLIVE OIL NAMED_______________________________________________ __________________________________________________________________________________________________ OBTAINED FROM OLIVE VARIETIES ________________________________________________________________________________ BY THE METOD______________________________________________________________ OF WHICH AT LEAST 500 KGS ARE PRODUCED APPLIES FOR THE PARTECIPATION TO THE XXIV INTERNATIONAL AWARD “LEONE D’ORO DEI MASTRI OLEARI” WITH THE ABOVE MENTIONED SAMPLE AND ENCLOSES ALL WHAT REQUESTED BY ARTT. 4, 5 AND 6 OF THE AWARD RULES. THE UNDERSIGNED, HAVING DULY NOTED THE AWARD RULES WHICH HE ENTIRELY APPROVES, DECLARES HE WILL IN PARTICULAR ACCEPT THE IRREVOCABLE JUDGEMENT OF THE JURY, THAT SHALL MAKE KNOWN ONLY THE AWARD-WINNING OILS. ATTACHED AT THIS APPLICATION THERE IS: RECEIPT OF THE PAYMENT OF € ________ MADE ONLY THROUGH BANK TRANSFER NET, FREE OF ANY CHARGE (CLEARLY SHOW NAME OF FIRM AND REASON FOR THE PAYMENT) TO: Cassa Di Risparmio di Firenze S.p.a. intestato ad A.I.F.O. - Associazione Italiana Frantoiani Oleari IBAN IT10 E061 6038 0201 0000 0000 323 - SWIFT CRFIIT3F132 - BIC CRFIIT3F FOR FURTHER INFORMATION WILL YOU CONTACT THE SECRETARIA STAFF tel. +39 3249507891 – fax 06/32504270 – e-mail: eventiaifo@gmail.com ______________________________________ (date) ______________________________________ (stamp and signature) - Leone d’Oro dei Mastri Oleari tel. +39 3249507891 – fax 06/32504270 – e-mail: eventiaifo@gmail.com - www.mastrioleari.it