presented byOrange County Association of Health Underwriters

F R I D AYJ U N E 1 , 2 0 1 8

B A L B O A B AY R E S O R T1 2 2 1 W . C O A S T H I G H WAYN E W P O R T B E A C H , C A 9 2 6 6 3

A l l p r o c e e d s g o t o N e w H o p e G r i e f S u p p o rtC o m m u n i t y

W I T H FA M I LY A N D F R I E N D S

REGISTER ONLINE AT: WWW.OCAHU.ORG . QUESTIONS: (866) 921-6440

1 6T H A N N U A L

L U N C H E O N & FAS H I O N S H O W

Please register by Friday, May 18th. *Cancellation Policy: Cancellation Prior to 5/18 - 50% penalty; Non-refundable after 5/18.

REGISTRATION INFORMATION

Name: (1) _____________________________ (2) ________________________________

(3) _____________________________ (4) ________________________________

LIST ADDITIONAL NAMES ON SEPARATE PIECE OF PAPER

Company: __________________________________________________________________

Billing Address: ______________________________________________________________

City and Zip: ________________________________________________________________

Phone : ________________________ Email: ______________________________________

LUNCH PREFERENCE

Chicken Entrée Vegetarian Entrée Vegan Entrée Gluten Free Entree

NUMBER OF GUESTS

_____$100 Ticket per person

_____$125 Ticket per person + 30 Raffle Tickets

_____$950 Table of 10

_____$1250 Table of 10 + 30 Raffle Tickets per seat

_____$1100 Table of 12

_____$1400 Table of 12 + 30 Raffle Tickets per seat

GRAND PRIZE RAFFLE TICKETS (VACATION FOR up to 6 to NAPA, CA)

____ 1 Ticket $20 or ____ 3 Tickets $50

$_______TOTAL

SPONSORSHIP

$4,000 EMERALD $2,500 SAPPHIRE

$3,500 RUBY $1,8500 TOPAZ

$1,500 AMETHYST

$______ TOTAL

PAYMENT BY CHECK

Make check payable to OCAHU and mail to:

OCAHU 1442 E. Lincoln Ave., PMB 441 Orange CA 92865-1934

PAYMENT BY CREDIT CARD - REGISTER ONLINE @www.ocahu.org or FAX/EMAIL

Card Type : American Express Discover MasterCard Visa

Card Number: ________________________________________________________

Expiration: _________________________ Security Code: _____________________

Signature: ____________________________________________________________

Tel: 866-921-6440 ▪ Fax: 858-408-2671 ▪ orangecountyahu@yahoo.com

PINK DIAMOND - $7,500

Grand Event Sponsor (Health Net)

▪ Participate as Master or Mistress of Ceremonies ▪ Premier seating for 24 plus 10 general raffle tickets per guest ▪ 3 Bottles of champagne at each table + Flowers for each guest ▪ Raffle basket in your name (Value: $500) ▪ Business card Ad in program ▪ Recognition on signage, on big screen, website and e-blasts

WHITE DIAMOND - $5,000

Fashion Show Sponsor (Word & Brown) ▪ Participate as Host or Hostess of Fashion Show ▪ Preferred seating for 10 plus 10 general raffle tickets per guest ▪ Flowers for each guest ▪ Raffle basket in your name (Value: $250) ▪ Business card ad in program ▪ Recognition on signage, on big screen, website and e-blasts

EMERALD - $4,000

Parking Sponsor ▪ Table near registration for company rep to validate parking ▪ Preferred seating for 10 plus 10 general raffle tickets per guest ▪ Business card ad in program ▪ Recognition on signage, big screen, website and e-blasts

Name Badge Sponsor (Dickerson Insurance Services) ▪ Company logo on name badges (400+) ▪ Preferred Seating for 10 plus 10 general raffle tickets per guest ▪ Business Card Ad in program ▪ Recognition on signage, on big screen, website and e-blasts Centerpiece Sponsor

▪ Company Logo in Table Centerpieces (40+) ▪ Preferred Seating for 10 plus 10 general raffle tickets per guest ▪ Business Card Ad in program ▪ Recognition on signage, on big screen, website and e-blasts

RUBY - $3,500

Attendee Program Sponsor ▪ Company logo on printed attendee program (400+) ▪ Preferred seating for 8 plus 5 general raffle tickets per guest ▪ Business Card Ad in program ▪ Recognition on signage, on big screen, website and e-blasts Pop the Cork Sponsor ▪ Company logo on each package covering wine (80+ bottles) ▪ Preferred Seating for 8 plus 5 general raffle tickets per guest ▪ 5 General raffle tickets per guest (total of 40 tickets) ▪ Business card ad in program ▪ Recognition on signage, on big screen, website and e-blasts Table Wine Sponsor (Warner Pacific) ▪ Choice of sponsoring either red or white wine (1 bottle of each per table) ▪ Wine glass with company logo on 400+ glasses ▪ Preferred seating for 8 plus 5 general raffle tickets per guest ▪ Business card ad in program ▪ Recognition on signage, on big screen, website and e-blasts

SAPPHIRE - $2,500

Grand Prize Sponsor (Colonial Life & BenefitMall) 1 Sponsorship Available - a total of 3 available for this sponsorship

▪ Preferred seating for 6 plus 5 general raffle tickets per guest ▪ Your logo on baggage tag to grand prize ticket purchaser (250+) ▪ Business card ad in program ▪ Recognition on signage, on big screen, website and e-blasts

TOPAZ - $1,850

Appetizer Sponsor - a total of 2 available for this sponsorship Table Favor Sponsor (The Schulten Group) Audio Visual ▪ Preferred Seating for 5 plus 5 general raffle tickets per guest ▪ Recognition in program, signage, on big screen, website and e-blasts

AMETHYST - $1,500

Grand Prize Excursion (EyeMed) a total of 2 available for the sponsorship above Honoree Gift Photography ▪ Preferred Seating for 4 plus 5 general raffle tickets per guest ▪ Recognition in program, signage, on big screen, website and e-blasts

DOORS OPEN AT 9:30 AM