2021 Chicago Select - Mission Banner Commitment Form

2021 Chicago Select - Mission Banner
On Monday, August 30, 2021 the American Cancer Society will celebrate the 26th anniversary Chicago Select Golf Invitational and more than $10 million raised to help liberate the world from the threat of cancer.

Chicago Select will highlight those who have been impacted by cancer with the opportunity to dedicate a banner — a powerful way to honor your loved one’s unique story at the event. Whether they have conquered the disease, are currently in treatment, or lost their fight with cancer, the Hall of Hope will celebrate the lives of those we love.
Mission Banner Type: *

Individual Tribute ($500) Corporate Tribute (includes company logo) ($1,000)
Your Full Name: *

First Name Last Name
Your company (if a Corporate Tribute):
Phone Number:
Email: *
example@example.com
Name of your loved one: *
Cancer type [optional]:
Important dates [optional]:
Examples include date and/or age of diagnosis, date of remission, date of birth - date of death.
Two sentences (maximum) describing your loved one or their cancer journey: *
Click below to upload a high resolution photo of your loved one. *

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If a corporate tribute, also upload logo here:

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Payment Options: *

I wish to pay online via credit card. (Upon completion of this form, you will be redirected to our payment site.) I will mail a check to the American Cancer Society within 30 days of my commitment.
If you would like to mail your check, please mail it to the following address:

American Cancer Society, Chicago Select - Mission Banner

ATTN: Cailie Furlong

PO Box 10393

Chicago, IL 60610
Should be Empty:

2021 Chicago Select - Mission Banner

On Monday, August 30, 2021 the American Cancer Society will celebrate the 26th anniversary Chicago Select Golf Invitational and more than $10 million raised to help liberate the world from the threat of cancer.