New Wine Form – Short - Regal Wine Imports

States Available for Regal to Sell*

Producer*

Wine Style*

Wine Subtype*

Product Name*

Country*

Region*

Appellation*

Sub-Appellation

Vintage*

Grape Varieties*

Environmental Practice*

Certified?

If yes, please provide certifying group

Alcohol Content (%)*

Please enter a number from 0 to 100.

Total sulfur at bottling (in ppm)

Please enter a number from 0 to 1000.

Case Pack*

Bottle Size*

Feature*

Cases Per Pallet*

Number of cases/tier on the Pallet*

Case Dimensions*

(Width x Length x Height)

Please specify units of measure*

FOB / EX Winery Cost*

Currency*

UPC Code*

COLA #

New Jersey Brand Registration

I register my wine with the state of New Jersey.
I do not register my wine with the state of New Jersey, and allow Regal Wine Imports to register for me at $25 per wine.

The state of New Jersey requires each individual wine to be registered with the state. The annual fee is $25 per wine.

New Wine Form – Short