Chicago Women's Health Center · Mirror and a Flashlight Event Ticket Form

Join us for a conversation reflecting on the season of Mirror and a Flashlight!
Your support helps our podcast get made and provides access to comprehensive, affirming health care and health education for women, trans people, and young people.

A ticket provides access to our virtual event on Wedesday, March 24th from 7-8:15pm CST.

How many tickets would you like to purchase? (Each ticket will receive a Zoom link to access the event on 3/24/21.) *	Quantity
$10

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 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 event?

We'd love to know who or what connected you to Mirror and a Flashlight!

Anything else you'd like us to know?

CWHC will be recording this event and may decide to use event pictures or audio in marketing and communications.