VITICULTURE POLAR VORTEX PROJECT 2023

Grape Grower Information

Please complete the following questions to ensure your farm is on our list to receive information regarding Perennia's polar vortex recovery efforts and possible data collection. Thank you.

Please contact viticulture@perennia.ca for immediate concerns or questions.

Contact Information

Question Title

* 1. Farm Information

Name (First and Last)

Address

City/Town

Province

Postal Code

Question Title

* 2. Farm Owner Contact

Name (First and Last)

Phone Number (Cell)
xxx-xxx-xxxx

Phone Number (Home)
xxx-xxx-xxxx

Question Title

* 3. Vineyard Manager/Primary Contact
Only answer if different than above.

Name (First and Last)

Phone Number (Cell)
xxx-xxx-xxxx

Phone Number (Home)
xxx-xxx-xxxx

VITICULTURE POLAR VORTEX PROJECT 2023

Grape Grower Information

Question Title

* 1. Farm Information

Question Title

* 2. Farm Owner Contact

Question Title

* 3. Vineyard Manager/Primary ContactOnly answer if different than above.

* 3. Vineyard Manager/Primary Contact
Only answer if different than above.