the Chocolate Wine Dine and Groove Event 2015 Registration Form

SPONSORSHIP OPPORTUNITIES
 Title Sponsor ................................................. PNC Bank (SOLD)
 Food Sponsor ......................................... Millwood Inc. (SOLD)
 Band Sponsor .....................................................................$3,000)
EVERYTHING IS INCLUDED
IN YOUR TICKET PRICE!
Soft Drinks, Beer & Wine
 Beverage Sponsor ................................ Coronado Steel (SOLD)
 Sweets Sponsor ....................................................................$3,000
 Auction Sponsor (Only One Available) ..........................$3,000
- Your logo/name will be prominently displayed on the auction tables
- Your logo displayed in a full color “Thank You” Business Journal ad
- Eight (8) tickets to the event
- Mentions at the event
 Chocolate Aficionado .......................................................... $1,000
- Six (6) tickets to the event
- Your logo displayed in a full color “Thank You” Business Journal ad
-Your logo on a “Thank You Sponsors” sign at the event
 Foodie Fan ............................................................................... $ 500
- Four (4) tickets to the event
- Your name displayed in a full color “Thank You” Business Journal ad
- Your name on a “Thank You Sponsors” sign at the event
 Groovin’ Giver ......................................................................... $ 250
- Two (2) tickets to the event
- Your name displayed in a full color “Thank You” Business Journal ad
- Your name on a “Thank You Sponsors” sign at the event
 Delightful Donation .................................................... $ __________
- Your name on a “Thank You Sponsors” sign at the event
Name ______________________________________________________________
Company _________________________________________________________
Address ___________________________________________________________
City ___________________ State _____ Zip __________________________
Phone Number: Day ______________________________________________
or  Visa •  MasterCard • Expiration Date:_______________
3 digit security code on back of credit card: ____ ____ ____
Card Number ________________________________________________________
Signature of Cardholder______________________________________________
Print name of Cardholder _____________________________________________
I would like to donate to the Chinese Auction or Silent Auction. Please list item/s:
_______________________________________________________________________
_______________________________________________________________________
Name/s ____________________________________________________________
____________________________________________________________________
Menu by
____________________________________________________________________
Company _________________________________________________________
Italian Antipasto
Spicy capicola, sopressata,
prosciutto di parma from Italy with tangy olives, various
fresh aged cheeses & garden fresh vegetables
Three Italian Cheese Tri-Colored Tortellini
Tossed in a homemade basil pesto sauce
Herb Crusted, Sliced Roast Beef
Topped with mushrooms and a zesty horseradish sauce
served on either rosemary asiago or
pumpernickel ciabatta bread
Caprese Skewers
Mozzarella, fresh basil and vine ripe grape tomatoes
drizzled with a flavorful balsamic glaze
Address ___________________________________________________________
____________________________________________________________________
City ___________________ State _____ Zip __________________________
Phone Number: ___________________________________________________
Email Address: ____________________________________________________
Number of Reservations at $45 each _____________
Total: $ _______________
Please make checks payable to:
Crudite Fresh from the Garden
Accompanied by a zesty olive oil and lemon dipping sauce
Compass Family & Community Services
535 Marmion Avenue, Youngstown, OH 44502
Mouthwater Vegetarian Grape Leaves
Hand-rolled
or
Eggplant Rollitini
With provolone and fresh marinara
Email Address: ____________________________________________________
Please make checks payable to:
Compass Family & Community Services
535 Marmion Avenue, Youngstown, OH 44502
INDIVIDUAL RESERVATIONS ONLY
RSVP BY SEPTEMBER 21. 2015
 Visa •  MasterCard • Expiration Date:______________
3 digit security code on back of credit card: ____ ____ ____
Card Number ______________________________________________________
Signature of Cardholder____________________________________________
Chocolate! Chocolate! Chocolate!
Tasty chocolate
treats from
local vendors!
Print name of Cardholder ___________________________________________
To charge by phone or for more information,
call Kim at 330-782-5664 x1116
No Tickets Will Be Mailed.
Your name/company name will
be listed at the door.
$24 of each ticket is tax deductible