D O N A T E

Thank you for your interest in donating wine or a wine country experience in support of Napa New Tech High. To help stock our cellar for the upcoming Wine Auction, please complete the form below!

(Please note, all wine donations will be stored in a temperature controlled cellar until the auction date.)

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Contact Information
Event Name: *
Donor Name: * Anonymous Donation?
Contact First Name: * Contact Last Name: *
Office Phone: * Mobile Phone:
Email Address: * Website:
Street: *
City/State/Zip: *
Add my logo (accepted file formats: gif|png|jpg|jpeg):   
Wine Donation
Name of Wine: Vintage:
Varietal: Appellation:
Vineyard: Winemaker:
Format: Quantity:
Fair Market Value: Signed?   Etched?   Gift Box?
Description:
Upload an optional image of your donation (accepted file formats: gif|png|jpg|jpeg):   
Upload an optional 2nd image of your donation (accepted file formats: gif|png|jpg|jpeg):   
Upload an optional 3rd image of your donation (accepted file formats: gif|png|jpg|jpeg):   
Gift Certificate
Gift Certificate Specifics:
Gift Certificate Terms:
Gift Certificate Fair Market Value: Gift Certificate Expiration:
Please create my gift certificate
Logistics
I will ship/deliver my donation DELIVERY ADDRESS:
PREMIER WINE CASK, INC.
1710 SOSCOL AVE. SUITE 5
NAPA, CA 94559
PHONE: 707.257.0714 | HOURS: M-F, 9-12 & 2-5

I would like to schedule a pickup Pickup Contact Name:
Pickup Location:
Pickup Contact Phone: Pickup Contact Email:

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