PLEASE FILL OUT THE FORM BELOW

431 N. Wells Chicago, IL

PACKAGE 1

Each guest will receive a THREE FREE $5 Gift Certificates to use that night with a donation. Available on Fridays between 9pm and 12am. 100% of the donation goes to your cause! All guests will also receive a ”Goody Bag” w/ over $300 in Freebies!

*are required fields

Full Name* Email*
Phone Number Charity You Are Raising Money For*
Date of Event* Time of Event*
Approximate Number of Guests* Donation Amount*

Special Notes