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Donate an Item

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 or 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:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

Mobile Phone:*

Email:*

Donate an Item

EVENT INFORMATION