Qty	Item	Description	Price	Total
	Subtotal	$0.00

Donation Request Form

We get many requests for donations, but are happy to consider yours.

Please fill out the form and we'll get back to you as soon as we can.

Margerum Donation Request

*Name of Organization

*501(c)(3) Number

*Name of Event

*Location of Event

*Date of Event

*Number of Attendees

*Please select one Wine for pouring
Auction items
Wine Tasting Certificate(s)
Winery Tour

*Contact person

*Email address

Anything else we need to know?

*Are you a wine club member? Yes No

*Have we donated to your organization in the past? Yes No