TEST — customer service form | Gironde Logistics and Services LLC

Wine COLA Application

Please submit one form per COLA Application.

"*" indicates required fields

Company Name / Your Name*

Imported / Domestic

Product Country of Origin*

Brand Name (Producer)*

Sub-brand

Fanciful Name

Appellation*

Varietal/s

Class Type*

Table Red and Rose (11.1-14%)

Table White Wine (11.1-14%)

Sparkling Wine/Champagne (11.1-14%)

Dessert/Port/Sherry/Cooking Wine (14.1-24%)

ABV%*

Front Label*

Accepted file types: pdf, jpg, png, Max. file size: 64 MB.

Back Label*

Accepted file types: pdf, jpg, png, Max. file size: 64 MB.

Additional Labels

Accepted file types: pdf, jpg, png, Max. file size: 64 MB.

Phone

This field is for validation purposes and should be left unchanged.

Receipt Import Form

"*" indicates required fields

Collection Request Form

"*" indicates required fields

Client Name*

Client PO #*

Total Pallets*

Total Boxes*

Total Liters*

Total Value*

Supplier Contact Person*

Supplier Email Contact*

Warehouse Address*

Postal Code*

Country*

Ready Date*

Buyer PO #*

Vendor Name*

Vendor Invoice #*

SKU (Only for GLS Warehouse Clients)

Wine*

Appellation (Only for GLS Warehouse Clients)

Vintage*

Quantity (Bottles)*

Bottle Size*

Bottles per Box / Piece (Only for GLS Warehouse Clients)

Total Boxes / Pieces*

9 L Equivalent*

Total Value (Foreign) per SKU*

Total Value (USD) per SKU*

ABV*

Country*

Region*

Color*

Still / Sparkling / Spirits*

Phone

This field is for validation purposes and should be left unchanged.