1) Indicate your 2019 California export sales as reported on Export Declaration forms for calendar year 2019 for bottle and bulk exports. (This information is mandatory; the form will not be accepted without data entered for dollars & gallons)
(Please include all foreign and domestic affiliates as well as seasonal employees for the preceding 12 month period.)
If different from above, provide additional contact for:
If Printing, please return completed forms to:California Wine Export Program, 425 Market Street, Suite #1000, San Francisco, CA 94105, USAPhone: (415) 512-0151, FAX: (415) 512-8416, www.calwinexport.com, E-mail: email@example.com
If paying by check, dues for all membership levels above $600.00 will be billed semi-annually in July 2020 and January 2021.
Dues at the $600.00 level must be paid in full at the time of registration by either check or credit card.
* If the winery is represented by a broker, the party that registers and pays for Export Program membership must be the winery.
CATEGORY: You previously chose this selection from "Choose the category that applies to your Company".
PAY BY CREDIT CARD OPTION (for $600 category ONLY)Your Application Form will also submit once Payment is made.