Membership Application Form SECTION A - Ownership Information Winery Ownership Structure: Winery Ownership Structure: Sole Proprietor/Individual Applicant Partnership Corporation Are you a member of the Ontario Wine Appellations Authority (VQAO)? Are you a Member of the Ontario Wine Appellations Authority (VQAO)? Yes No SECTION B - Winery Information Winery Name Address City/Town Postal Code Telephone Winery Email Address Winery Website URL Winery Size (based on annual case sales) Winery Size Micro Craft Winery (Less than 1,000 cases sold annually) Craft Winery (Up to 4,000 cases sold annually) Small Winery (Up to 20,000 cases sold annually) Medium Winery (Up to 40,000 cases sold annually) Large Winery (More than 40,000 cases sold annually) Mailing Address: Mailing Address Same as Above Street Address City/Town Postal Code SECTION C - Contact Information Main Contact Name Title Main Contact Email Address Add to newsletter list? Add to Newsletter? Yes No Main Contact Phone Secondary Contact Name Title Secondary Contact Email Address Add to newsletter list? Add to Newsletter? Yes No Secondary Contact Phone Accounts Payable Contact Name Title Accounts Payable Contact Email Address Add to newsletter list? Add to Newsletter? Yes No Accounts Payable Contact Phone Please list any other contacts you would like to be included in industry mailings, newslettters and event invitations: Name Title Email Name Title Email Name Title Email Submit Application