Donate an Item

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Fields marked * require an entry.

Please consider donating a gift basket or wine for our 2^nd Annual Corks for Kids event!

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

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Mobile Phone:*

Email:*

Thank you to our 2018 Corks for Kids Tasting Vendors