Donation Request

Thank you for considering Wine Road for inclusion in your fundraising event.

At this time we cannot fulfill ANY requests for events taking place prior to May 2020.
Please do not fill out and submit the request if your event is prior to May 2020.

We are passionate about supporting our local community and where budget permits we’ll extend our giving to causes outside our area. We have already fulfilled to over 200 requests in 2019.

We ask that you fill out the information below, rather than mail us a request.

Please understand that we receive a large number of requests and cannot honor all of them. Requests must be made at least eight (8) weeks prior to your event. You will be contacted via email informing you if we can fulfill your request or not.

Donations are subject to availability and are not redeemable for cash. Wine Road does not make cash donations. Completing this form does not guarantee your request will be honored.

Thank you for your understanding.

Organization Information
Name of Organization*
Address*
Street Address Address Line 2 City State ZIP Code
Phone #*
Fax
Website
Tax ID*
Requesting Individual’s Information
Your Name*
Your Title
Email*
Phone #*
Donation Information
Date of Event*
Date Donation Required by*
Event Name
Description of Event
Other important info we should know
Phone
This field is for validation purposes and should be left unchanged.

Donation Request

Donation Request

Organization Information

Requesting Individual’s Information

Donation Information