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
Company Name (as you would like it to be listed on WOTVS website and printed materials)*
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)
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. (if applicable):
Number of Employees Worldwide (if applicable):
List of Corporate Offices in the U.S. & Worldwide (CITY/STATE/COUNTRY). Please note where you are headquartered:*
Why are you joining or renewing your Corporate Membership with Women of the Vine & Spirits? *
Industry Sector*
If Industry Sector is "Other", please describe:
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.

Chief Diversity OfficerDE&I CouncilWomen’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
CORPORATE MEMBERSHIP CONTACTS

*Must Provide 3 Contacts
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 Name (For Year-Round Activities/Emails/Announcements):*

First NameLast Name
Main Contact Title:*
Main Contact Company Email:*
Main 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
COMPANY INFORMATION
Main Office Address: *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Main Office Phone Number*

Country CodeArea CodePhone Number
Website: *
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.

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, Bronze =2, Silver =3, Gold =4, Platinum =5, Diamond =6
Enter Email Domain(s)*
Upload Company Logo

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SELECT MEMBERSHIP LEVEL (select one)*

Diamond / $35,000 USDPlatinum / $25,000 USDGold / $15,000 USDSilver / $10,000 USDBronze / $5,000 USDAssociate / $2,500 USD
PAYMENT INFORMATION (select one)*

I prefer to pay by check/ACH wire transferI prefer to pay by credit card
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:

CORPORATE MEMBERSHIP CONTACTS

COMPANY INFORMATION