NOLO customer application form

NOLO customer application form

Please use this form to register your interest in accessing the new product development services for no-and low-alcohol wine products offered by the NOLO trial-scale research facility at the Waite Campus, Urrbrae, SA. Following receipt of this form, the WIC Winemaking Services team will contact you to confirm arrangements.
Business name*
Business ABN*
Contact name*

First NameLast Name
Phone number*
Email*
Postal address*
Is your business based in South Australia?*

YesNo
Are you a small, medium, or large wine business?*

Small (less than 50,000 9LE cases or 650 tonnes)Medium (50,000 - 500,000 9LE cases or 650 - 6,500 tonnes)Large (more than 500,000 9LE cases or 6,500 tonnes)
Have you previously used WIC Winemaking Services for new product development?*

YesNo
Have you produced and sold a no- or low-alcohol wine before?*

YesNo

Please provide details of up to six commercial products. *

	Style:	Vintage:	Variety:	Region:	Pack format:	Alc (%):	Indicative production volume (9LE):	RRP (AUD):
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Please provide some information about the NOLO wine you would like to develop through this service. Please populate for multiple variations (treatments) that you would like to consider.*

	Style:	Vintage:	Variety:	Region:	Pack format:	Target Alc (%):	Target RS:	Target DCO2:	Additional additives:	Trial volume (9LE):
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When would your base wine be ready for trials? *

DayMonthYear
Date
When would you like samples to be prepared and available?*

DayMonthYear
Date
Are there any other comments/details you wish to share with us?
If you have any further enquiries, please contact John Gledhill, Winemaker - WIC Winemaking Services via
john.gledhill@awri.com.au or 0429 140 377.
Please verify that you are human*
The infrastructure for this work is supported by the South Australian Jobs and Economic Growth Fund. Submission of this form is confirmation that you agree to the collection and sharing of the submitted information with the partners of the NOLO trial-scale research facility as part of required governmental reporting on the use of the facility. It is also confirmation of your permission for the AWRI to contact you in the future in regard to associated research activities.
Should be Empty:

	Brand:	Sales channel (Cellar door, online retail, on-premise, export):	Annual forecast sales volume (9LE):	RRP (AUD):
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