Bid for Life registration form

Registration Form

Birthright of Chicago and
Illinois Right to Life Committee
40th Annual "Bid for Life"
Benefit Dinner
Friday, April 9, 2010
Cocktails 6 p.m. (cash bar), Dinner 7:30 p.m.
at Drury Lane
100 Drury Lane, Oak Brook Terrace, IL

Mr. & Mrs._____________________________________________________________

Address________________________________________________________________

City_____________________________ State_____________ Zip__________________

Telephone_______________________________________________________________

Please reserve _________ Tickets ($75 donation per person)

Tables accommodate 10-12 persons. Tickets will be held at the door.

We are unable to attend but wish to support your work with a $__________ donation.

I would like to donate the following to the Silent Auction: (give value of each item)

______________________________________________________________________

I may be contacted at _____________________ to arrange for pick-up of the above items.

I wish to be seated with:

______________________________________________________________________

Please make checks payable to Illinois Right to Life Committee
Mail to: 65 E. Wacker Place, Suite 800 • Chicago, IL 60601
R.S.V.P. by April 2, 2010
A portion of your contribution is tax deductible.