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Donate an Item or Package to the Côtes du Coeur

Thank you for your interest in donating to our auction. Please fill out the form below and a staff member will get back to you to confirm your donation details.

Auction Item Donation

Item Information

Item Name:*

I accept AHA's Terms of Service and Privacy Policy :*

Yes

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor
Business Donor

I would like to remain anonymous:*

YesNo

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: Delivery/Pick-Up Intention:

Donor will Deliver
Pick-up Coordination Needed

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:*

Mobile Phone:*

Work Phone:

Email:*