Item Donation Page

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

For Wine Donations:

Please be specific. Include: value, number of bottles, bottle size(s) (ml/liter), vintage, full name, appellation, special packaging and tasting notes:

For Travel or Hospitality Donations:

Please indicate any expiration dates and restrictions for travel and hospitality items:

Please indicate one of the following:

Donor Will Deliver

Pick-Up

Pick-Up Instructions:

Need Special Pick-Up? Please include address, primary contact and time frame:

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

Item Donation Page

Registration

LEGACY SPONSORS