JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Donation Request
Please complete this form in order to be considered for a donation. These donations and discounts are only available to non-profit organizations and arrangements must be made 6 weeks in advance.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Organization Name
*
Your answer
Organization Tax ID
*
Your answer
Contact First Name
*
Your answer
Contact Last Name
*
Your answer
Contact Email
*
Your answer
Street Address **Required**
*
Your answer
City, State and Zip **Required**
Your answer
Event Date
*
Reminder: All arrangements must be made 6 weeks in advance
MM
/
DD
/
YYYY
Organization Website or Facebook Page
*
Your answer
What type of donation are you looking for?
Certificate for Tour and Tasting
Wine (50/50 Case Goods Program)
Special Request - please specify in the comments below.
Comments
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Willamette Valley Vineyards.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report