Nashville Wine Auction Donation Form
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23015 Poston Avenue, Suite 200
Nashville, TN 37203
Phone (615) 329-1760
Fax (615) 329-1704
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Email:
DONATION FORM
Donation Type:
(check one)
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Wine
Dinner/Tasting
Luxury/Non-Wine
Trip/Vacation Home
Total Value of Donation: $ ____________________
Preferred Placement of Donation:
(see reverse for event descriptions, check one)
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Pairings (February 23-25, 2017)
The Men’s Event (October 5, 2017)
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l’Eté du Vin (July 20-22, 2017)
Place my donation where it fits best
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Champagne and Chardonnay (October 5, 2017)
Donor Contact Information:
Donor Name as it should appear in the Auction Catalog ____________________________________________________
Business Name _____________________________________________________________________________________
Contact Name ______________________________________________________________________________________
Mailing Address ____________________________________________________________________________________
City ____________________________________________ State __________ Zip Code __________________________
Phone (
) _________________________________ Fax (
) __________________________________________
Web Site ______________________________________ Email _____________________________________________
Delivery of Donation:
(check one)
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I will deliver donation to NWA office (Delivery date: ____________)
Contact me to arrange pickup
Description of Donation:
If donating wine, please include number of bottles and value per bottle. There is more room on reverse to enter descriptions of
non-wine items. Please photocopy this form if more room is required.
# of Btls
Btl Size
Vintage
Vineyard, Varietal, Description
Value
(per btl)
Donor Signature: _________________________________________________________ Date ________________
Please send your completed form and donation to contact information above and retain a copy of this form for your records.
Federal Tax ID #: 71-0918163. Subject to the substantiation requirements of the IRS Code, a contribution to Nashville Wine Auction is tax deductible to the extent
that the fair market value of such contribution exceeds the fair market value of any goods or other benefits received from the Nashville Wine Auction.
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