PLEASE FILL OUT THE FORM BELOW

110 West Hubbard Street, Chicago, IL

PACKAGE 1

One drink ticket per person valid for beer or wine with a donation. Available Monday through Thursday between 5pm and 7pm for a minimum of 20 people. 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