Wine CBMA Form

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Wine CBMA Form

Please fill out the information below. The CBMA letter must be signed by the producer. An email with the body of the required CBMA letter will be sent to the email address entered in the vineyard primary contact email address field below. This email will contain next steps, which involve printing out the letter, signing, scanning, and sending it to us at cbma@elentenyimports.com . Please allow 5-10 minutes for the email to be delivered.

Importers name:

Importers email address:

Vineyard Primary Contact Email Address *

Name of vineyard decision maker (First Last) *

Title of vineyard decision maker *

Vineyard Name *

Vineyard Address *

Expected number of liters imported by this importer from the vineyard in 2022. (example: 3000) *

How many total liters does the vineyard expect to export to the United States in 2022? ("0 - 113562 Liters" is the $1 per gallon tier) *

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