Easterseals 29th Annual Crystal Ball

YOU ARE CORDIALLY INVITED TOTHE TWENTY NINTH ANNUAL

Crystal Ball & Silent Auctionto Benefit Easterseals

SATURDAY, THE SEVENTH OF MAYAT SIX O’CLOCK IN THE EVENING

THE MARRIOTT HARTFORD DOWNTOWN100 COLUMBUS BOULEVARD, HARTFORD

ticketing and event information is located on the details page

29th Annual Crystal Ball

CORPORATE SPONSORS

PRESENTED BY

MEDIA SPONSORS

As of 3/3/16

Easterseals 29th Annual Crystal BallSaturday, May 7, 2016

Marriott Hartford Downtown

Master of CeremoniesBrad Drazen - Anchor, NBC Connecticut

6:00 p.m.Cocktail Reception & Silent Auction

7:45 p.m.Dinner, Awards Presentation,

Live Auction and Dancing to the Music of The Cartell’s

Black Tie Optional with a Splash of Orange Complimentary LAZ Parking Valet Service

RSVP by April 15, 2016For questions about sponsorship opportunities, auction items or hotel

accommodations please contact Dawn Veillette Diana at ddiana@escrec.org or (860) 270-0600 x154

The Crystal Ball supports the life changing programs and services at Easterseals that touch all of our lives in some way, including our comprehensive neuropsychological services.

Easterseals has been helping individuals with special needs and their families live better lives for nearly 100 years. From child development centers to physical rehabilitation and job training, Easterseals offers a variety of services to assist people with disabilities. Including assistance to children and adults, affected by various neurological impairments due to injury, illness and cognitive disorders. Your support will give individuals like Isaiah, a fighting chance to address life's obstacles, achieve personal goals and succeed in a world filled with daily challenges.

EVENT CO-CHAIRSEllen Bedard, Shelly Gambino, Barbie Kasner & Sandy Nistal

29th ANNUAL CRYSTAL BALL COMMITTEE

COMMITTEE

David Bedard David Geetter, M.D.

Gwen Hahn Deb Hampson

Anne Iezzi Joseph E. La Valla

Michael Maglio, Esq.Tracey G. MayJerry G. Olson

Sharon Pope, Esq.Ronald J. Recardo

Bill SeligVanessa Williams

EASTERSEALS BOARD OF DIRECTORS

Judith Stearns, Board ChairKaren Perham-Lippman, Vice Chair

Angela M. Nelson, Secretary E. Merritt McDonough, Jr., Treasurer

Allen S. Gouse, Ph.D., President & CEO

MEMBERS OF THE BOARD

EXECUTIVE BOARD

Hope BashCynthia BondCindy Carlson

Christine Olivetti EganJanice England Cirikovic

Erika EvankoSusan FactorDiane A. GentCarolyn Gitlin

Laurie Goldsmith

Lisa SchwartzDebbie Searson

Sandy SeligJill Tuchmann Peckham

Rebecca VegaColleen Waterbury

Laura YandowNola M. Zimmerman

Gwen HahnLori Hess

Jodi MestelAngela M. Nelson

Rhoda B. ObermeierSuzi Kessler Paperny

Ginny PettinicchiSusan Pierce

Beth PritchardElise Rosenstock

Response Card

Name_________________________________________________________

Company (if relevant)__________________________________________

Address_______________________________________________________

City / State / Zip_______________________________________________

Phone (day)______________________(evening)____________________

Email__________________________________________________________

DONATION TO FUND A TREATMENTHelp change a life by funding services for individuals with disabilities. Please accept my 100% tax-deductible donation to Fund A Treatment. $________________

SPONSORSHIP (# Tickets in parenthesis)

Sold $50,000 Presenting Sponsor (30)______$35,000 Diamond Sponsor (20) ______$25,000 Platinum Sponsor (10) ______$15,000 Gold Sponsor (10) ______$10,000 Silver Sponsor (10) ______$5,000 Bronze Sponsor (8)

Please check if sponsor is not using tickets

PROGRAM ADSAll ads are 100% tax-deductible

_____$1,500 Inside Back Color_____$1,000 Full Page Color

_____$750 Half Page Color

_____$500 Full Page B & W

INDIVIDUAL EVENT TICKETS_____$350 Patron # of tickets_____Total $_______ (Listed in event program) _____$300 Friend # of tickets_____Total $_______

Any questions, please contact Dawn Veillette Diana, Director of Donor Relations at (860) 270-0600 x154 or email ddiana@escrec.org

Payment and guest names required on reverse side of this form. Please register with payment by April 15, 2016

_____$250 Half Page B & W

Crystal Ball

GUEST SEATING

Menu: Duet Plate (Vegetarian option available upon request)

First & Last Name, Preferred Email and Dietary Restrictions:

Guest 1._____________________________________________________________

Guest 2._____________________________________________________________

Guest 3._____________________________________________________________

Guest 4._____________________________________________________________

Guest 5._____________________________________________________________

Guest 6._____________________________________________________________

Guest 7._____________________________________________________________

Guest 8._____________________________________________________________

Guest 9._____________________________________________________________

Guest 10.____________________________________________________________

Seating Request: __________________________________________

Registration information required on reverse side of this form.

Credit Card: MC VISA Discover AMEX

Name on card:________________________________ Zip Code:_______Card #: _______________________________________________________

Signature: _____________________________________________________

PAYMENT: Please register with payment by April 15, 2016BY CHECK: Enclosed is my check made out to Easterseals in the

amount of $____________.

Please mail in the enclosed envelope to: Easterseals •100 Deerfield Road • Windsor, CT 06095

If sponsor table, please list guest names & emails so we may send event details. If purchasing individual tickets, please identify who you would like to be seated with and we will do our best to accommodate your wishes. Please list any dietary restrictions below.

BY CREDIT CARD:

Exp. Date: _____________________ CVV #: ___________________