Chicago Women's Health Center · Imagine the Future Board Event Ticket Order Form

Imagine the Future Ticket Forms.jpg

Join us for Imagine the Future: Moving Forward with Intention on Thursday, June 10, 2021 at 7pm CST. This one hour Zoom workshop will provide space to support you in moving into the future with intention.

This workshop will be facilitated by former Collective member jessica young chang and is being presented by CWHC's Board of Directors. All proceeds from the event will go to support CWHC's continued work providing health care and health education to thousands of women, trans people, and young people across Chicago.

What ticket level would you like to purchase? (All ticket levels include Zoom access to the workshop on June 10th.) *	Quantity
$40
$30
$20

If you want to go above and beyond, add a donation here:

$

Contact Information

Name

*

First Name

Last Name

Email

*

Verify Email

*

Did you buy an extra ticket for a friend who will be logging into the event from a different computer than you?

*

Our event has limited capacity, so we want to be sure everyone with a ticket is able to join!

Great! Please provide us with their name and email address and we'll send the event information directly to them.

Phone

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

How did you hear about the workshop?

We'd love to know who or what connected you to CWHC!

Anything else you'd like us to know?

This workshop will not be recorded but CWHC will take several screen shots that may be used in marketing and communications.