Donation Request Form
Donation Contact / Donation Solicitor
Name:
Email:
Address:
City/State/Zip:
Phone:
Fax:
□ I am a Roche Winery Carneros Club (wine club) Customer. Name on account: _______________________________
□ I am a Roche Winery Futures Customer. Name on account: _______________________________
□ I am not a Roche Winery Carneros Club (wine club) or Futures Customer.
Organization / Charity
Name:
Website:
Address:
City/State/Zip:
Phone:
Fax:
Email:
501(c)(3) Tax ID:
Fundraising / Event Details
Name of Event:
Date:
Address:
City/State/Zip:
Will this donation be part of (check all that apply):
□ Live Auction
□ Silent Auction
□ Catalog
□ On-Line Auction
Event Website:
Describe Further Event Details (i.e. other wineries participating, expected attendance, how fundraising helps org., etc)
Roche Winery will be promoted through (check all that apply):
□ Auction Catalog
□ Print Ads
□ On-Site Banner
□ Event Program Booklet
□ Media / PR Releases
□ On-Site Promotional Display of Winery Materials
□ Event/Charity website
□ Newsletters
□ Email Campaign
□ Other (please explain): _____________________________________________________________________
Donation requests will not be considered unless they comply with all of the following guidelines:
MAIL TO:
1)
Complete this “Donation Request Form.” An incomplete “Donation Request Form” will not be accepted.
Roche Winery, LLC
2)
With the completed “Donation Request Form,” attach a cover letter on your organization’s letterhead. The letter must
ATTN: DONATIONS
include: 1) Your organization’s non-profit Tax ID#. 2) Date, time, and place of event. 3) Details how Roche Winery can help
122 West Spain St.
your organization and its fundraising efforts.
Sonoma, CA 95476
3)
The “Donation Request Form” and the cover letter must be received by Roche Winery no later than six (6) weeks before the
date of the event and/or delivery of the donation is required.
OR FAX TO:
(707) 935-7846
Within 15 days of the receipt of your request, you will receive a response by phone or by email as to whether Roche Winery can
ATTN: DONATIONS
honor your donation request. Submitting a donation request per the above guidelines does not guarantee a donation.