All In Chicago - 30th Anniversary Celebration Registration & Donation Form

Looking for where to buy raffle entries? Click here!

Contact Information

Contact Name

First Name

Last Name

Verify Email

Organization/Employer

Job Title

30th Anniversary Celebration Tickets	Quantity
$250 - standard ticket
$175 - discounted ticket for active volunteers and/or young professionals (limit 2)
$2,000 - table of 10

Guest Names

Please type the names of your guests here, or email them to rnaffziger@communityhealth.org by Sept. 14

Become an ALL INsider!

Take your support for All In Chicago to the next level by becoming an ALL INsider. ALL INsiders receive perks, swag, and discounted tickets to All In events throughout the year.

ALL INsiders at any level will be recognized in CommunityHealth's annual report and on the All In Chicago website.

$500 - Includes 2 Celebration tickets (covers the cost of care for 1 patient for a year)

$1,000 - Includes 3 Celebration tickets (covers the cost of care for 2 patients for a year)

$2,500 - Includes 4 Celebration tickets (covers the cost of care for 5 patients for a year)

$5,000 - Includes 5 Celebration tickets (covers the cost of care for 10 patients for a year)

$7,500 - Includes 6 Celebration tickets (covers the cost of care for 15 patients for a year)

$10,000 - Includes 8 Celebration tickets (covers the cost of care for 20 patients for a year)

If you are interested in corporate sponsorship or have questions about any of these options, email Rachel Naffziger for more information.

Donate

Donation Amount

$100

$50

$25

Add 3% to my total amount to help cover the payment processing fees