1883 cocktail challenge registration form

	A	C	D	E	F	G	H	I
1	1883 Cocktail Challenge	Registration Form
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5	Last Name				First Name
6	Date of birth				Email	gudu6uu
7	Work place				Tel
8					Address
9	Please fill in with an "x" at the cell of your choice				Country
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11		Short Drink					Long Drink
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13	Cocktail name
14	Ingredients*			Brand				ml
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22	Shake	Blender		Build		Mixing Glass		Rolling
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24	Garnish
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27	Inspiration
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29	Notes : *For syrups you may use only 1883 brand
30	Please fill in with an "x" at the cell of your choice
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32	Acceptance of the terms and conditions: https://goo.gl/NnSKqw
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34	I hereby confirm that the information provided by me on my registration form is true.
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36			yes	no
37	I accept to receive notifications, newsletters and other promotional material from KAFEA TERRA S.A.
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39	Name				Place
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41	Date				Signature (name & surname)
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