Women of the Vine & Spirits (WOTVS) Corporate Membership Agreement:

Women of the Vine & Spirits (WOTVS) Corporate Membership Agreement:

Payment is due upon receipt of invoice. Membership term is one year. Renewal date is one year from original date of signed agreement.
Date*

MonthDayYear
SELECT MEMBERSHIP LEVEL (select one)*

Diamond / $35,000 USDPlatinum / $25,000 USDGold / $15,000 USDSilver / $10,000 USDBronze / $5,000 USDAssociate / $2,500 USD
COMPANY INFORMATION
Company Name (as you would like it to be listed on WOTVS website and printed materials)*
Legal Business Name (for example, if using a DBA above):
Is your company woman-owned, led, or made? (select all that apply)

Woman-ownedWoman-led (i.e. leadership team or board members)Woman-made (i.e. winemaker, blender, distiller)
Is your company/brand owned, led or made by someone in another diversity category? (select all that apply)

Diverse-ownedDiverse-led (i.e. leadership team or board members)Diverse-made (i.e. winemaker, blender, distiller)
Please share the name, title, and diversity category of this person(s):
Do you have women in the C-Suite? If yes, please provide name and title.
Do you have women represented in any of these positions: Master Distiller, Master Blender, Lead Winemaker, Master of Wine, Master Sommelier, Lead Brew Master, Lead Sake Master or other Lead Craftswoman in your portfolio of brands? If yes, please provide name, title and email
Number of Employees in the U.S.:*
Please write "0" if not applicable.
Number of Employees Worldwide: *
Please write "0" if not applicable.
List of Corporate Offices in the U.S. & Worldwide (CITY/STATE/COUNTRY). Please note where you are headquartered:*
Main Office Address: *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Main Office Phone Number*

Country CodeArea CodePhone Number
Website: *
Company Logo*

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Industry Sector*
If Industry Sector is "Other", please describe:
For an added fee of $150, Women of the Vine & Spirits will build your Corporate Member profile in our Membership Directory for you. Would you like to purchase this add-on?

YesNo
Why are you joining or renewing your Corporate Membership with Women of the Vine & Spirits? *
I give Women of the Vine & Spirits permission to use the above quote (in full or in part) attributed to me for promotion in social media, website, newsletter, email, printed material, etc.*

AgreeDisagree
Does your company have an Employee Assistance Program (EAP)?

YesNo
Which of the following roles, initiatives and/or support groups, if any, have been implemented by your company? Please select all that apply.

Women’s InitiativeWomen’s Leadership InitiativeGender diversity focused Employee/Business/Associate Resource Group (i.e., ERG/BRG/ARG)
Check the following if your ERG/BRG/ARG programs…

Have oversight from a member of the senior executive teamHold regularly scheduled meetingsHave a voice/input on company policies and programsReport updates/concerns to the senior executive team
Email Domains

Employees must use your approved company email domain(s) to set-up their complimentary individual profiles and gain access to membership benefits.

Please share with us your company email domain(s) that you would like included as connected to your company account.

If your company has more than one email domain you can enter them below. However, please note the number of allowable domains is tied to Corporate Membership Level selected.

Associate = 1 complimentary, Bronze = 2 complimentary, Silver = 3 complimentary, Gold = 4 complimentary, Platinum = 5 complimentary, Diamond = 6 complimentary.
Enter Email Domain(s)*
I would like to purchase additional email domains as a Diamond Level CM:

1 more ($100 add-on charge)2 more ($200 add-on charge)3 more ($300 add-on charge)
I would like to purchase additional email domains as a Platinum Level CM:

1 more ($200 add-on charge)2 more ($400 add-on charge)3 more ($600 add-on charge)
I would like to purchase additional email domains as a Gold Level CM:

1 more ($300 add-on charge)2 more ($600 add-on charge)3 more ($900 add-on charge)
I would like to purchase additional email domains as a Silver Level CM:

1 more ($500 add-on charge)2 more ($1,000 add-on charge)
I would like to purchase additional email domains as a Bronze Level CM:

1 more ($500 add-on charge)
Enter Additional Domain(s) here:
NEW! EMPLOYEE MEMBERSHIP FOR NON-EXEMPT EMPLOYEES who do not have company email (such as tasting room/warehouse). At an additional fee, WOTVS will upload a list of these employees and assign them to your company account. Would you like to hear more about this add-on?

YesNo
CORPORATE MEMBERSHIP CONTACTS

*Must Provide at least 3 Different Points of Contact
Executive Level Contact Name:*

First NameLast Name
Executive Level Contact Title:*
Executive Level Contact Company Email: *
Executive Level Contact Phone:*

Country CodeArea CodePhone Number
Main Contact - Same as Executive Level Contact?

YesNo
Main Contact
Main Contact Name:*

First NameLast Name
Main Contact Title:*
Main Contact Company Email:*
Main Contact Phone:*

Country CodeArea CodePhone Number
Corporate Member Ambassador - Same as Main Contact?

YesNo
Corporate Member Ambassador
Corporate Member Ambassador Name:

First NameLast Name
Corporate Member Ambassador Title:
Corporate Member Ambassador Email:
Corporate Member Ambassador Phone:

Country CodeArea CodePhone Number
Diamond, Platinum and Gold Corporate Members have the option to add additional Ambassadors. Diamond Members: Appoint up to 2 additional ambassadors; Platinum & Gold Members: Appoint up to 1 more additional ambassador. Please add them here now, or email nicole@womenofthevine.com when they have been selected. (Name, title, email, phone):
Billing Contact - Same as Main Contact?

YesNo
Billing Contact:
Billing Contact Name:*

First NameLast Name
Billing Contact Title:*
Billing Contact Email:*
Billing Contact Phone:*

Country CodeArea CodePhone Number
Alternate Main Contact Name:*

First NameLast Name
Alternate Main Contact Title:*
Alternate Main Contact Company Email:*
Alternate Main Contact Phone:*

Country CodeArea CodePhone Number
PAYMENT INFORMATION
Total for Annual Membership Dues
Total for Brand Profile Add-On
Total for Additional Domain(s) Add-On
Total
PAYMENT INFORMATION (select one)*

I prefer to pay by check/ACH wire transferI prefer to pay by credit card (by selecting the credit option, you agree to pay a 3% fee)
Fee Amount
Credit Card Payment Total with fee

Name of Employee Completing Application*

First NameLast Name
Email of Employee Completing Application*
By clicking Submit, you authorize this agreement.

WOTVS reserves the right to make changes/clarifications to the benefits tied to corporate membership at any time, at our sole discretion. WOTVS will keep in mind the value of the overall benefits when changes are made.
Signature
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Women of the Vine & Spirits (WOTVS) Corporate Membership Agreement:

COMPANY INFORMATION

CORPORATE MEMBERSHIP CONTACTS

PAYMENT INFORMATION