Licensee Registration:
To set up an account with the VWDC, please fill in the information requested below click the Submit button.
Licensee Information:
 
Operating Name: * Phone: *
ABC Licensee Number: * Fax:
License Type: * Toll Free:
Tax Number: * - enter 0 if unknown Website:
Address: * Upload Logo Image:
City: *   Upload logo image
State: *   For best results logos
should be between 2
to 4 megapixels in the
JPEG (.jpg), PNG (.png)
 or GIF (.gif) format and
 less than 2MB in size.
Zip Code: *  
Country: *
Is this licensee affiliated to a chain? Yes    No
I wish to have the following user(s) granted access to the Virginia Wine Distribution Co. OnlineOrderDesk:
First Name: * Phone: *
System access rights:
Edit Company information
Maintain other contacts
Authorized to send PO to winery
Last Name: * Fax:
Email Address: * Cell Phone:
Terms and Conditions:
Click to read the Terms and Conditions
I have read and understand the Virginia Winery Distribution Company's Terms and Conditions and acknowledge that the sale transaction happens between the Winery and Licensee directly.