Distribution Client Intake Application

Thank you for considering The Wine Noire for your wine and spirits distribution needs. We currently work with a portfolio of clients looking for detailed attention and a passionate advocate in the industry who is invested in seeing businesses grow and succeed.

Please complete the form below so that we can make sure there is a match based on the services we offer and the services you are looking for.

For additional questions, please contact us at 510-295-4838 or [email protected].

You can also download the form as a pdf and complete it offline here. When you complete the form please email it to [email protected]. Please put the following text in the subject line: “Distribution Client Intake Application from [your company name]”.

General Information

Today's Date:

Business type:
Corporation/LLCPartnershipSole ProprietorLiquor Licensee
Winemaker Option:
WinemakerNegociant
Name of Business:

DBA (if different from above)

Year established:

If incorporated, under which state:

Street Address:

City:

State:

Zip Code:

Business phone:

Business fax:

Email Address (Required Field):

Name on License:

License Number:

Business Owners

Owner #1 Information

Name:

Street Address:

City:

State:

Zip Code:

Phone Number:

Email Address:

Percent ownership:

Owner #2 Information

Name:

Street Address:

City:

State:

Zip Code:

Phone Number:

Email Address:

Percent ownership:

Wine Portfolio

Still White Wine

How many do you have in your portfolio?

How many would you like us to distribute on your behalf?

Please list each wine you would like us to distribute and the wholesale price:
Name of Wine #1:

Wine #1 Wholesale Price:

Name of Wine #2:

Wine #2 Wholesale Price:

Name of Wine #3:

Wine #3 Wholesale Price:

Name of Wine #4:

Wine #4 Wholesale Price:

Name of Wine #5:

Wine #5 Wholesale Price:

Still Red Wine

Sparkling Wine

Spirits Wine

Distributors

Please list all current and past distributors that you have worked with.

Distributor #1

Distributor #1 Name:

Name of contact:

City:

State:

Dates worked with:

Distributor #2

Distributor #2 Name:

Name of contact:

City:

State:

Dates worked with:

Distributor #3

Distributor #3 Name:

Name of contact:

City:

State:

Dates worked with:

Distributor #4

Distributor #4 Name:

Name of contact:

City:

State:

Dates worked with:

Distributor #5

Distributor #5 Name:

Name of contact:

City:

State:

Dates worked with:

Distribution, Sales and Marketing

Distribution

Which states in the US are wines currently sold and distributed?

Which distribution channels are currently used to sell your wines? (select all that apply)
Online to consumerOnline wine retailer such as Wine.com and ShopWineDirect.comHospitality industry (hotels, resorts, etc.)RestaurantsEventsCurrent distributors(s)

Sales

What were your sales in 2018?:

What were your sales in 2019?:

What are your estimated sales for 2020?:

Marketing

Do you have an annual marketing budget?
YesNo
If so, how much do you allocate each year to marketing your wines?:

How are you currently marketing your wine? (select all that apply)
Company websitecompany social media pagesSocial media advertisingDigital advertisingPrint advertisingEventsE-newsletterDistribution partner
Please take a moment below to let us know what your current distribution expectations are and how you would like to work with a distributor such as The Wine Noire.