of tickets

3

Up, Up and AwayHudson Valley Hot Air Balloon Ride, Adam’s Gift Card, and Champagne

and Flute Set Valued over $650

of tickets

5

Monticello Motor Club

Go-Kart activity for 3 people Valued at $500

of tickets

6

Let’s Go Yankees!4 Yankee tickets to Wednesday, June 26, 1:05 Game v. Toronto Blue Jays

Valued over $600

of tickets

2

Family FunHudson Valley Renegades Tickets, Family Photo Session, Mount Peter Lift tickets, Castle Center,

Hand crafted Adirondack chair, and more Valued over $500

1

of tickets KayaksPair of SunDolphin single person

tangerine kayaks Valued at $450

of tickets

4

The Orange Regional Medical Center Foundation is hosting a basket raffle with all proceeds to benefit the expansion of the ORMC Emergency Department. These baskets are filled with so many amazing goodies, it’s impossible to select just one! To participate, simply fill in the quantity of raffle tickets you would like in the box next to each basket. Tickets are $5 each, 3 for $10, or 10 for $20. The drawing will take place on June 17, 2019 at the Healey Brothers 28th Annual Golf & Tennis Classic. For event & sponsorship information visit www.ormcclassic.org. Winners need not be present to win.

WIN Fabulous Baskets!

Benefiting

The ORMC Foundation

XBOX One XGame Console, 6 mo Xbox Live

subscription, and $50 Xbox gift card Valued over $500

of tickets

7

Apple BasketiPad, $100 iTunes gift card, and more

Valued over $500

of tickets

8

Crystal SpringsCrystal Springs Resort in Sussex County,

NJ Overnight Stay and golf foursome Valued at $925

of tickets

11

Fore West Hills Country Club foursome

The Golf Club at Mansion Ridge foursome Tuthilltown Box Set

Valued at $875

of tickets

10

Fitness ForwardApple Watch, Gold’s Gym 3 mo, Athleta

Items and moreValued over $650

Name: _________________________________________________________ Phone #: ( _______) ____________________________

Address: ______________________________________________________________________________________________________

Email: _________________________________________________________________________________________________________

Ticket Quantity: ___________ Pricing: 1 ticket = $5, 3 tickets = $10, 10 tickets = $20

Total Cost: ___________ Signature: _______________________________________________________________________________

Please make checks payable to Orange Regional Medical Center Foundation. If paying by credit card, fill out information below.

Credit Card: __ Visa __ American Express __ MasterCard

Card #: ___________________________________________________ Expiration date: ____/____ Security Code _______

Please submit entire form with payment to the Orange Regional Medical Center Foundation Office, 707 E. Main Street, Middletown, NY 10940. For more information, contact the Foundation at (845) 333-2333.

Scan or fax completed form to (845) 333-2335 or foundation@ghvhs.org.

Upon completion, submit this entire form with payment to the Orange Regional Medical Center Foundation Office.

of tickets

12

It’s ShowtimeComic Strip Live – 10 tickets

Bethel Woods Museum – 4 tickets Westchester Broadway Theatre – 2 tickets

Forestburgh Playhouse -2 tickets Shadowland Stages – 2 tickets

Valued at $500

of tickets

13

TViSamsung 55 Inch 7 Series Smart TV

Valued at $500

of tickets

9

Best of the Hudson Valley

Boscobel Historic House tour, 2 local winery tastings, $100 gift cards for Tony Boffa’s, Adam’s,

Fairacre Farms, Something Sweet and more Valued over $775