ANNUAL ORANGE COUNTY EMPLOYEE BENEFIT COUNCIL RAFFLESILENT AUCTION

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					              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
                                               Email: Adrienne.shaffer@hrh.com

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)




    Business
    Contact Person
    Mailing Address
    Signature of Donor
    Phone Number
    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!