Bulk Juice or Wine

To Recieve a Printable Form please contact Wine Network
Email: mail@winenetwork.co.nz
Phone: (+64 9) 489 3644
Fax: (+64 9) 489 3646
* denotes a required field        Close all 'required' indicators
Winery Name: * Your WSMP Number: 
Wine Variety: * Your Wine Code eg. Batch Number or Tank Number
Vintage: * Price per Litre: $
Volume Available: * Litres Alcohol by vol: %
GRAPES *         *Add or Delete Rows as necessary
Vintage: *  Varieties: *  Region: *  District: Clone: Percentage: * 
%
  TOTAL:       *
nb: Total must equal 100%
Location of Wine: *  e.g. Auckland, Marlborough
The Product is Available as: * Cold Settled Juice Cloudy Wine Finished Wine
Wine Analysis TA: g/L pH: RS: g/L VA: g/L
RED Wine only
Grapes at Harvest Brix TA: g/L pH:
Spray Diary can be provided? * Yes No Unsure
Wine composition report detailing additives can be provided? * Yes No Unsure
Current Auditors Report can be supplied? * Yes No Unsure
Do you comply with New Zealand Winegrowers Wine Standards Management Plan Code of Practise? * Yes No Unsure
Sustainable Winegrowing NZ Recognised Vineyard? * Yes No Unsure
Sustainable Winegrowing NZ Recognised Winery? * Yes No Unsure
Has an Export Spray Programme been followed? * Yes No Unsure
Has the Wine been Multi-Residue tested? * Yes No Unsure
Has the Wine been Export Approved? * Yes No Unsure
Does the wine meet EU Eligibility (with respect to no post ferment sugar addition)? * Yes No Unsure
Have genetically modified/engineered substances been used? * Yes No Unsure
Is the Wine available for sale now? Yes No
Is the Wine listed with anyone else? Yes No
Has the Wine been offered to anyone else? Yes No
 
TREATMENT
  If YES please state percentage
Stainless Steel Fermentation Yes No
Barrel Fermented Yes No
Barrel Aged Yes No
Chipped Yes No
Beans Yes No
Staved Yes No
Time in Oak Days Months
WINEMAKING
Malolactic Fermentation Yes No %
Protein Stabilised Yes No  
Cold Stabilised Yes No  
Sitting on Lees Yes No  
Centrifuged Yes No  
Earth Filtration Yes No Type:
Pad Filter Yes No  
Filtration Completed Yes No Type:
Other Information
Completed By: *
Position: *
Email Address: *
Contact Number: *
Contact for Sample Requests and Reviews
Same as above?    Yes         No
Name: *
Position: *
Email: *
Contact Number: *
Contact for Offers
Same as above?    Yes         No
Name: *
Position: *
Email: *
Contact Number: *
I agree that all the information supplied in this form is true and correct and that Wine Network NZ Limited may disclose this information for the purpose of On-Sale as a wine broker on our behalf.