PLEASE FILL OUT THE FORM BELOW

3518 North Clark, Chicago, IL

PACKAGE 2

Each guest will receive a FREE $5 Gift Certificate with a donation of $5 or more to a charity of your choice. Available on Saturdays between 9pm and 11pm. 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