Group Name*
Tax ID#*
Reason for request / Who the proceeds of donation will go to.*
Event Location*
Event Date and Time*
Estimated number of attendees*
Percentage under age 21*
Event Website
Contact Name*
Contact Phone Number*
Contact Email Address*
Fundraising Format RaffleSilent AuctionLive Auction
Requested Donation Type
Tour & Tasting (include number of vouchers needed below)
Basket: $25 Gift Card, 4 tour/tasting vouchers, and two 750mL bottles
Bottles (include number needed below)
Sponsorship as an on premise tasting at your event (include time frame below)
How did you hear about Rush Creek?*
501(c)(3) Paperwork*
Event Flyer (If available)
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