CNCF Grand Slam Gala Registration Form

When: Saturday, September 12, 2009
4:00 – 7:00 pm
Where: John Barleycorn (upper level)
3524 N. Clark Street
Chicago, IL
773-549-6000
Donation: $100 per Adult ($50.00 of which is tax deductible)
$50 per Child-must be over 12 to attend
Includes: Event admission, two drink tickets, appetizers, gift bag,
and a chance to meet Alfonso Soriano and other
baseball greats


Package Name Amount Quantity Subtotal

Adult $0.00

Child $0.00
$0.00

© 2009 Children's Neuroblastoma Cancer Foundation. All Rights Reserved. Tax ID # 36-4370725, 501 (c)(3) public charity