Entwine Australia Winery Membership Form

Please note: This form is for winery Entwine Australia membership or membership renewal, and should be completed in reference to one winery site only. Please refer to the Entwine Reporting Guide for specific advice on answering these questions. When completing this form, including the carbon footprint, only include resource use associated with winemaking, packaging and warehousing (do not include grape growing, cellar door or restaurant), if separate metering is not conducted please make a considered estimate.

All fields are mandatory, if a question does not relate to your winery please enter 0 in the text field provided.

Entwine Australia Indicators

1.	Financial Year of Data Collection	Select 2007 / 2008 2008 / 2009 2009 / 2010 2010 / 2011 2011 / 2012 2012 / 2013 2013 / 2014 2014 / 2015
2.	Please estimate the amount of grapes and wine that was processed for each activity listed below during the last financial year. Include own and contracted winemaking and packaging.
Winemaking that was conducted at this site:
2a.	Tonnes of Grapes Crushed	(T)
2b.	Full winemaking (from grape crushing to finishing at this site)	(kL)
2c.	First stages of winemaking only (crushing, ferment etc, but not finished at this site)	(kL)
2d.	Last stages of winemaking only (wine or juice from elsewhere that is finished at this site)	(kL)
Bottling and or Packaging by volume that was handled at this site:
2e.	Wine packaging/bottling of wine made at this site	(kL)
2f.	Wine packaging/bottling of wine from elsewhere	(kL)
3.	Total Winery Water Use	(kL)
4.	Total Wastewater and Liquid Waste Generated	(kL)
5.	Estimate the percentage of winery water that is recycled or reused	(%)
6.	Total solid waste produced	(T)
7.	Total waste to landfill	(T)
8.	Total Electricity use	(kWh)
9.	Total Natural Gas	(cu. m)
10.	Total Petrol used	(L)
11.	Total Diesel used (excluding biodiesel)	(L)
12.	Total LPG used	(L)
13.	What is the area of land and/or wetlands in hectares that you manage that has been set aside with the primary purpose of maintaining and or reintroducing a natural ecosystem and biodiversity?	(Ha)

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Carbon Footprint

Generate this information by entering data relevant to winemaking, packaging and warehousing only into the Australian Wine Carbon Calculator.
Scope 1 Emissions
14.	Total Fuel Use Emissions (Mobile & Stationary)	(tonnes CO2-e)
15.	Fugitive Emissions (Gas Leakages - SF6)	(tonnes CO2-e)
16.	Winemaking Practices (Purchased CO2)	(tonnes CO2-e)
17.	Onsite Waste Treatment Emissions (Solid & Liquid)	(tonnes CO2-e)
Scope 2 Emissions
18.	Purchased Electricity Emissions	(tonnes CO2-e)
Total Winery Operational Emissions
19.	Total Scope 1 and 2 Emissions	(tonnes CO2-e)
Scope 3 Emissions
20.	Packaging Emissions only	(tonnes CO2-e)

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Environmental Management Certification

Full Entwine membership applicants only
What scheme is your company certified to?	Freshcare ISO14001
What is your certification number (if applicable)?
What date does your certification expire?	Select Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Select 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025
Preliminary Entwine membership applicants only
What certification scheme does your company intend to become   certified to?	Freshcare ISO14001

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Entwine Australia Fees

Entwine Membership Dates Your submission for Entwine membership provides information on your operational practices for the preceding financial year. This information is then returned to you as a benchmark report on your performance relative to other members of the program. To ensure that this information is as accurate and as useful to you as possible, the membership renewal period is July-October for all members. Therefore, if you are joining after October the membership fees are lower as your membership will apply for the remainder of the financial year rather than a full year. New or Renewing Member

New Entwine members that are members of the WFA New Entwine members that are NOT members of the WFA Renewing Entwine Australia members

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Winery Details

Current Entwine Member Please enter your Entwine No. and email address then press the search button to pre-fill your details.
Entwine No:		Email Address:

Company Name:
Winery Name:
Winery State:	Select ACT NSW NT QLD SA TAS VIC WA             Winery GI Region:       Select Region
Entwine Accredited   Wine Brands:

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Contact Details

First Name:		Last Name:
Postal Address:
Suburb/Town:		Postcode:
State:	Select ACT NSW NT QLD SA TAS VIC WA	Phone No:
Email Address:		ABN:
Website:

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  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 (credit card only). Your membership will be processed in due course and you will be entered onto the Entwine Australia online register. PLEASE NOTE: Operators using alternate approved certification schemes (other than Freshcare) will also need to provide proof of certification in the form of a certificate to the WFA.