SANTA CRUZ MOUNTAINS

WINE AUCTION

INFORMATION ABOUT THE DONOR:

1. Name of donor: ______________________________________________________________

2. Company Name: _____________________________________________________________

3. Address: ___________________________________________________________________

4. Telephone: _____________________________/Fax: ________________________________

5. Name of principal contact(s): ___________________________________________________

INFORMATION ABOUT THE GIFT:

1. Description of the gift(s):_______________________________________________________



2. Limitations, special conditions, or time constraints on the gift(s):_______________________

_______________________________________________________________________________


3. Fair market value of the gift(s):___________________________________________________

_______________________________________________________________________________
We would be more than happy to pick up your donation, or you can mail it to:
SCMWA
7605-A Old Dominion Ct.
Aptos, CA 95003
To arrange for pick-up please call (831)685-8463



PLEASE RECORD ANY ADDITIONAL COMMENTS OR INFORMATION:

Donor: ________________________________________________________________________

Authorized Signature: _____________________________Date: __________________________

Please mail or fax this form by May 1 (in order to be included in the brochure) to:
SCMWA
7605-A Old Dominion Ct.
Aptos, CA 95003
Fax: (831)688-6961
Thank you for your generous support.
Please sign and return top copy. Keep bottom copy for your files.

Wine Auction contact: ______________________________________________________________