Wine Value Chain Member Application

    Company

    Registered address

    Main contact

    Address (If different from above)

    Membership Dues Payment

    Please confirm which category the company falls into using below dues schedule:

    Membership Chart

    Membership tier:

    The annual dues will be paid:

    Details about your company

    Activity (Please indicate all that apply):

    In which SWR activity does your company intend to engage? (please indicate all that apply):