New England Fall Regional
Homemade Beer Competition 2009

Brewer(s): _________________________________________ Club Affiliation: ______________________

Address: _________________________________________

Day Phone: _________________________________________

Eve Phone: _________________________________________

E-Mail Address: _________________________________________

Entry 1)

• Category Number & Subcategory Letter:
• Category/Subcategory Name:
• Special ingredients/information (for judges):

Entry 2)

• Category Number & Subcategory Letter:
• Category/Subcategory Name:
• Special ingredients/information (for judges):

Entry 3)

• Category Number & Subcategory Letter:
• Category/Subcategory Name:
• Special ingredients/information (for judges):

Entry 4)

• Category Number & Subcategory Letter:
• Category/Subcategory Name:
• Special ingredients/information (for judges):

Have you:

• _____ Completely filled out this Entry Form?
• _____ Rubber banded a Bottle Label to each bottle
• _____ Enclosed appropriate entry fees?
• _____ Enclosed a self-addressed envelope?
• _____ Reviewed the Competition Rules?