Donation Request Form

Please fill out the following form in order for us to consider your donation request.

Name of Organization

Address of Organization

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

EIN or Tax Identification Number

501(c)3 Exemption Letter

After you submit this form, please email a copy of your 501(c)3 Exemption Letter to X@rustynailwinery.com. We must receive this item in order to consider your request.

Contact Name

First Name

Last Name

Contact Title / Role

Contact Phone Number

Name of Event

Date of Event

YYYY

Location of Event

Purpose of Event

Children's Health / Well-being

Children's Education

Other

Brief Description of Event

Request Type

In-Kind Donation

Gift Card for Wine Tasting

If In-Kind, please specify quantity and type of wine:

NOTE: This is just a request to guide us, it does not guarantee that we can meet your exact request.

Charity Wine/Beer Event License

If In-Kind, please email a valid Charity Wine/Beer Event License issued by the ABLE Commission to X@rustynailwinery.com.

Donation Request Form

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