EntWine Australia Preliminary Membership Form - Winery

Please note: This form should be filled out by winery operators only and should take into account one winery site only.

You must be able to answer “Yes” to questions 1 & 12 before submitting this form

EntWine Australia Indicators

1. Are you familiar with the EntWine Australia Indicators and have you begun recording data for the current financial year?	Yes
If available, please provide indicator data from the previous financial year below
2. Tonnes of Grapes Crushed	(T)
3. Total Winery Water Use	(KL)
4. Total Wastewater & Liquid Waste Generated	(KL)
5. Percentage of Winery Solid Waste Recycled	(%)

Carbon Footprint

Scope 1 Emissions	(tonnes CO₂-e)
6. Total Fuel Use Emissions (Mobile & Stationary)
7. Fugitive Emissions (Gas Leakages - SF6)
8. Winemaking Practices (Purchased CO₂)
9. Onsite Waste Treatment Emissions (Solid & Liquid)
Scope 2 Emissions
10. Purchased Electricity Emissions
Total Emissions
11. Total Scope 1 and 2 Emissions

12. For which financial year did you submit Indicator and Carbon Calculator data?

Approved EntWine Australia Certification

1. Do you understand the Environmental Certification requirements for EntWine Australia, and have you identified potential certification schemes?	Yes
2. What certification scheme does your company intend to become certified to?

EntWine Australia Fees

Wine companies that are members of the WFA:	$110.00 (GST inc.)
Wine companies that are not members of the WFA:	$440.00 (GST inc.)

Winery Details

Company Name:
Winery Name:
Winery Brand(s): All brands entered in this section should be brands solely associated with this winery site and should not include company brands from other wineries.
Winery State:		Winery GI Region:

Contact Details

First Name:		Last Name:
Postal Address:
Suburb/Town:		Postcode:
State:		Phone No:
Email Address:		ABN:
Website: (If applicable)

Declaration

I declare that the above information is true and accurate to the best of my knowledge.

After submitting this completed form you will be redirected to our online payment facility to pay the EntWine Australia membership fee to WFA. Operators using alternate approved equivalent schemes for certification will also need to provide proof of certification to the WFA. Your membership will be processed in due course and you will be entered onto the EntWine Australia online register.