The Grand Raffle Dinner

The Assumption Greek Orthodox Church of Chicago Grand Raffle Dinner

Sunday, September 27, 2026 5:00 pm Cocktails, 6:00 pm Dinner The Empress Banquets, 200 East Lake Street, Addison, IL Reservation Deadline: Monday, September 21 For more information, please contact the Church Office at 773-626-3114 or email the Event Chairperson, Marina Demos, at marinademos@yahoo.com
REGISTRANT INFORMATION

*Winners need not be present*
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
PURCHASE INFORMATION

Please list all guest names along with their respective ticket types (e.g., Dinner - Adult, Dinner - Child, or Raffle Ticket) to ensure accurate processing for the Grand Raffle Drawing.
Dinner Guests and/or Raffle Ticket Purchase. Please note that the name typed below will be used for the Grand Raffle Drawing. Click "Add New" to add additional names
Payment Method
CREDIT CARD PURCHASE

Enter ticket selection(s) and credit card information. If paying with CASH/CHECK/ZELLE, skip this section and go to Dietary Needs/Seating Requests below.

Ticket selection

Dinner and Raffle Ticket

$150.00 Quantity

Raffle Ticket Only

$100.00 Quantity

Dinner Only - Adult

$50.00 Quantity

Dinner Only- Child 12 and Under

$25.00 Quantity

Total

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Dietary Needs and/or Seating Requests

We will make every attempt to accommodate both dietary needs and seating requests but cannot guarantee them For specific questions related to the meal, please contact the Empress Banquets directly at 630-279-5900.
Dietary Needs and/or Seating Requests
Notes / Message to Chairperson
Should be Empty: