Vintners Circle Donation

Fields marked * require an entry.

FOR VINTNERS CIRCLE MEMBERS:

1. Use the first section to detail your silent or live auction package

2. Use the second section to detail your large format bottle of Pinot Noir (non ¡Salud! Cuvée)

Any wine included in silent or live auction packages, and your large format bottle, will need to be dropped off at Domaine Serene on Monday, November 4.

MAILING CERTIFICATES OR OTHER ITEMS
Tuality Healthcare Foundation
c/o ¡Salud!
335 SE 8th Ave
Hillsboro, OR 97123

Questions? Stephanie Baker, stephanie.baker@tuality.org or (503) 681-1850

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Large Format bottle details

Your large format of Pinot Noir (non- ¡Salud! Cuvée) will be (vintage vineyard varietal size):

For experiences - gift certificates

List restrictions, expiration, limitations, black-out dates, special instructions etc. (indicate N/A for wine only donation):*

Gift certificate provided to buyer post-auction: :*

I will create and mail

Please create one for me

N/A (donating wine only)

Contact person for buyer to redeem or for questions. Name, email, phone:

For promoting your donation

We use photos to promote your donation online and at the auction. Supply a Dropbox link or email preferred images to stephanie.baker@tuality.org:

Wine Shipping/Drop off

Vintners Circle members will drop off auction donations at Domaine Serene on Monday, November 4:*

Yep!

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

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