Donation Request
Tell us about you, your organization/event, and what you are looking for!
Your Name
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First Name
Last Name
Your Organization
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If this is for a business, what is the business name?
Organization Website
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Organization Tax ID
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Your E-mail
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Your Phone Number
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Area Code
Phone Number
Are you a member of our wine club?
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Yes, I am a happy member.
No, but I would love to become a member!
No, I'm not. :-(
Is this for a specific event?
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Yes!
No, just a general inquiry
If yes, about how many people will be attending the event
If yes, when is the event?
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Day
Year
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AM/PM Option
OPTIONAL second event date and time
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Date
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What are you looking for in terms of a donation?
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What is the approximate cash value of the donation that you're seeking?
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What is the purpose of your organization?
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Anything else we should know?
How did you hear about us?
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Submit
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