Winemaking and Label Integrity Program (LIP) Form

To Recieve a Printable Form please contact Wine Network
Phone: (+64 9) 489 3644
Fax: (+64 9) 489 3646

* denotes a required field

Winery Name: *
Your WSMP number:
Wine Variety: *
Country of Origin: *
Your Wine Code:
Vintage: *
Price:* $ Inclusive of Wine Network's Commission

Does this price include excise duty? *

(Please enter numbers only)
Volume Available: *    
What would be the minimum volume you would consider selling per transaction? *
Bottle Type/Colour: *
Bottle Size:    
For Sale In: *      
Closure: *  
Region Wine is located: *
Processing / storage
facility name:

(not to be published on the website, for Wine Network information only)


GRAPES *(Use the buttons on the right to add or remove rows as necessary.)

Vintage * Varieties * Region * District Clone Percentage *
nb: Total must equal 100% Total: 0%

  Yes No Unsure
Spray Diary can be provided? *
Wine composition report detailing additives can be provided? *
Current Auditors Report can be supplied? *
Do you comply with New Zealand Winegrowers Wine Standards Management Plan Code of Practise? *
Certified Organic Vineyard? *
Certified Organic Wine? *
BioGro Certified Winery? *
Sustainable Winegrowing NZ Recognised Vineyard? *
Sustainable Winegrowing NZ Recognised Winery? *

  Yes No Unsure
Has an Export Spray Programme been followed? *
Has the Wine been Multi-Residue Spray tested? *
Has the Wine been Export Approved? *
Does the Wine meet EU Eligibility? *
Does the Wine meet UK Eligibility? *
Have genetically modified/engineered substances been used? *

Suitable For    
Vegetarians * Yes No Unsure
Vegans * Yes No Unsure
Coeliacs * Yes No Unsure

  Yes No  
Is the Wine available for sale now?
If No, when?
Is the Wine listed with anyone else?
If YES, please list?
Has the Wine been offered to anyone else?
If YES, please list?

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
Wine Analysis: TA: g/L    pH:    RS: g/L    VA: g/L (RED Wine Only)
Alc/Vol: %

Malolactic Fermentation Yes No

Unique Selling Points to help promote your listing (eg. Single vineyard, independent wine review, organic, quality information, etc):


Completed By: *
First name: *
Last name: *
Position: *
Email Address: *
Contact Number: *

Contact for Sample Requests and Reviews Contact for Offers
(Same as above? ) (Same as above? )
First name: * First name: *
Last name: * Last name: *
Position: * Position: *
Email: * Email: *
Phone: * Phone: *

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.