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Donation Form

Organization Name

Tax ID

Date Request Submitted

Address Line 1

Address Line 2

City

State

Zip

Mission Statement

Website

REQUESTOR CONTACT INFORMATION

Requestor First Name

Requestor Last Name

Title/Relationship to Organization

Requestor Email

Requestor Phone Number

Trefethen Wine Club Member

EVENT DETAILS

Event Name

Event Description

Event Date

Event Location

Number of Guests

Event Sponsor/Underwriter

Attach Request Letter

Available to Pick Up?

Pick Up Date (or Shipping Delivery Date Deadline)

PLEASE NOTE

Submission of this request does not guarantee that your request with be fulfilled. Status of requests will not be received over the phone. A member of our team will contact you by email. If you have any questions or concerns about your submittal, please email donations@trefethen.com. This request has been implemented to decrease the carbon footprint and to help protect our environment. We appreciate your support.

I confirm that I am 21 years or older