Wagner Vineyards & Wagner Valley Brewing Co. Donation Request Application
In an effort to streamline our large number of donation requests throughout the year, particularly during peak season, we ask that you complete this form to be considered for a donation. 

Requests must be submitted at least four weeks prior to the event in question. 

If you are unable to pick up your donation or require special assistance, please contact donations@wagnervineyards.com.

Sign in to Google to save your progress. Learn more
Email *
Name of person completing form *
Phone number *
Organization/event *
Details to be included below - please use this space only for the name of the organization/fundraiser/event/etc
Event date (if applicable)
Date donation is required (latest possible date) *
When would you need the donation to be in your possession? Keep in mind, we are unable to accommodate any requests that need the donation sooner than 4 weeks.
Would you be picking up the requested donation? *
Organization/event website and/or social media *
Please include website URL with information about the organization and the event (if available), any social media where posts may be made about the event and any donors, and any other relevant links. 
Address of organization office/event venue *
Street Address, City, State, Zip
Please give us some background on your organization and/or event. *
Please include as many details as possible about the organization/event, why you are requesting donations, how the donation will be used, etc
What type of donation are you inquiring about? *
If requesting wine or beer, what are the quantities you are requesting? Ex: one case of wine, mixed case of beer, etc.
Please be as specific as possible. We get many requests and this can help us determine if we are able to support your event/organization.
How are you planning to use the donation? *
Will there be any sponsorship opportunities available for Wagner Vineyards/ Wagner Valley Brewing Co. pending our approval of this request? Please give any detail you may have. *
Please include any other pertinent information OR questions here. If you have a 501(c) 3 nonprofit number, please include it here.
Clear form
Never submit passwords through Google Forms.
This form was created inside of Wagner Vineyards. Report Abuse