ANNUAL ORANGE COUNTY EMPLOYEE BENEFIT COUNCIL
RAFFLE/SILENT AUCTION FORM
Please complete entire form and return to:
OCEBC c/o: Adrienne Shaffer
15 Enterprise, Suite 350
Aliso Viejo, CA 92656
Telephone: (949) 461-3994
Fax: (949) 461-3998
ο I wish to support with a cash contribution of $ to be used to purchase raffle prizes.
(Checks payable to OCEBC)
ο I wish to support with a raffle item as follows
Donated Item (s) Retail Value $
Complete Description (Include all facts for description and publicity; i.e. color, size, dates, limitations, number of
persons, time of year, insurance required, etc.)
I would like my donation to be acknowledged as follows (Please write name and/or company name)
Signature of Donor
Email Address _______________________________________________________________________
Please note: The raffle/auction committee reserves the right to combine, split or hold the items at their discretion, if they feel it would make the
items more marketable for raffle/auction purposes. This committee also reserves the right to select in which section the item will appear.
Orange County Employee Benefit Council’s Tax ID Number is: 33-0018347
Raffle proceeds will benefit the OCEBC speaker/program fund and the scholarship fund
THANK YOU FOR YOUR SUPPORT!