Wish Night Featured Wineries

Wish Night Featured Wineries

Please complete one form per item OR please list items and include the item value breakdown. This ensures we have the correct value for guest bidding and tax receipts.

FORM SUBMISSION DEADLINE: January 31, 2024

ITEMS AND CERTIFICATES MUST BE RECEIVED BY: February 15, 2023

Winery Name*

Commitment Level*

Select or enter value

Item Donation Details*

Feel free to include links for wine descriptions.

Item Restrictions

Unless otherwise specified, all items expire March 9, 2023 and assume mutually agreeable dates.

Please include specific dates, blackout dates, holidays excluded, excludes tax/tip etc. as applicable.

Item Value*

Item Value Verification*

By checking this box, I am indicating the item value listed is accurate at the time of donation to the best of my knowledge.

Item Delivery Confirmation*

By checking this box, I am indicating any donated wine or certificate(s) will be sent to the Make-A-Wish office by February 15, 2023.

Make-A-Wish has my permission to create a gift certificate.

Please be sure to provide a detailed description and

restrictions above.

Contact Name*

City*

Mailing Address*

State*

Zip*

Email Address*

Phone*

Form Date Field

Send me a copy of my responses

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