Lutzville Vineyards Trade Application "*" indicates required fields Company Name* Trading Name (If applicable)* Liquor Registration number* VAT number (If applicable)* Address* Street Address Address Line 2 City Province ZIP / Postal Code Contact Person* First Last Email* Contact number*Expiry date of Liquor Licence* MM slash DD slash YYYY Required Documents Please upload the following documentsCIPC (Cover Page)*Accepted file types: pdf, jpg, docx, Max. file size: 10 MB.Copy of Liquor Licence*Accepted file types: pdf, jpg, docx, Max. file size: 10 MB.Referred by (if applicable) Please type the word TRADER here to continue* Spam Security QuestionNameThis field is for validation purposes and should be left unchanged. Our Privacy Policy will apply
