Individual Donation Form
Annual Benefit Dinner May 17, 2022 | 6-10PM CST Museum of Science & Industry, Chicago
Name
*
Email
*
example@example.com
How many individual tickets would you like to purchase at $1,000 each?
*
Please Select
1
2
3
4
5
6
7
8
9
10
Payment Options
Contributions are fully tax-deductible to the extent allowed by law. Federal Tax ID #TBD
Upon completion of this form, you will be redirected to our payment site to complete your donation payment via credit card.
https://app.giveffect.com/campaigns/24770-2023-iicf-midwest-division-blazing-the-trail
Any Additional Notes
Any questions or comments? Feel Free to let us know.
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