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DATA ENTRY

1A. INDIVIDUAL OR COMPANY DETAILS

2 B. OLIVE GROVE

3C. OLIVE OIL SAMPLE

COMPANY NAME / INDIVIDUAL NAME:

BRAND NAME:

CONTACT PERSON:

LEGAL FORM

INDIVIDUAL
PERSONAL COMPANY
SA
LIMITED COMPANY
CORPORATION
OTHER

(Mark the correct):

OTHER

PROFESSION:

VAT ID:

PHONE:

MOBILE:

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

WEB SITE:

Signature

B. OLIVE GROVE

CITY:

COUNTRY:

VARIETY A

NUMBER OF TREES A

Selected Value: 0

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VARIETY B

NUMBER OF TREES B

Selected Value: 0

VARIETY C

NUMBER OF TREES C

Selected Value: 0

VARIETY D

NUMBER OF TREES D

Selected Value: 0

ALTITUTE:

CULTIVATION TYPE:

NON-ORGANIC
ORGANIC

OLIVE GROVE AGE:

ORGANIC SINCE:

Signature

C. OLIVE OIL SAMPLE

BRAND NAME:

VARIETY:

HARVEST PERIOD:

MALAXATION DATE:

MALAXATION TEMPERATURE:

OLIVE MILL:

OLIVE MILL TYPE:

2-PHASE
3-PHASE
OTHER:

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