Wine Growers British Columbia Membership Application

Your Name(Required)

First Last

Your Email(Required)

Winery Name(Required)

Corporate Entity / Legal Name (if different)

Other Winery(ies) Associated with above-noted Entity:

Winery General Email(Required)

Winery Phone(Required)

Winery Physical Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Geographical Indication

Please identify the GI from which all or the majority of your wine is made.

Sub-GIs

Please identify the Sub-GI from which all or the majority of your wine is made.

Corporate Entity / Legal Address (if different)

LCRB Winery Licence Number(Required)

BCLDB Supplier Number:(Required)

Please indicate your BCLDB sales agreement authorizing licensed liquor manufacturers to sell products to specified customers in BC(Required)

Land-Based Winery Sales Agreement

Commercial Winery Sales Agreement

Please attach a copy of your winery licence(Required)

Max. file size: 10 MB.

Website

Social Media Handles

Do you have a restaurant on site?

Yes

No

Do you have accommodations on site?

Yes

No

Proprietor & Primary Contacts

Name of Proprietor(s)(Required)

Telephone for Proprietor(s)(Required)

Email for Proprietor(s)(Required)

Winery Primary Contact Name

Team lead, if different from proprietor

Primary Contact Title

Primary Contact Email

Accounting Contact Name

Who should receive invoices, if different from proprietor

Accounting Contact Title

Accounting Contact Email

I have reviewed and understand the membership dues associated with the tier of membership I am applying for(Required)

Yes I confirm this

I confirm that I am authorized to apply for membership(Required)

Yes I confirm this

Wine Growers British Columbia Membership Application

Proprietor & Primary Contacts

Membership Details

CONNECT WITH US

SOCIAL RESPONSIBILITY

WINE GROWERS BRITISH COLUMBIA