Skip to main content
Home
NWIL COVID-19 Response Fund
COVID-19
About Us
History
Partners
M45 LIVES UNITED
Partner Agencies
Campaign Cabinet
Frequently Asked Questions
How to Become a Partner Agency
Our Team
Our Work
News
Community Impact
Community Impact RFPs
Our Community Impact Patnerships
The importance of Community Impact
Education
Dolly Parton Imagination Library
"It Takes a Village" Mentoring Program
Income
MyFreeTaxes
Campaign
Campaign Materials
Corporate campaigns
Workplace Census Form
Health
FamilyWize
Emergency Food and Shelter Funds
Small Town Heroes
Healing Illinois
Events
2020 Imagination Ride
Day of Action
Lincoln Douglas 5K
Contact Us
mm
Home
NWIL COVID-19 Response Fund
COVID-19
About Us
History
Partners
M45 LIVES UNITED
Partner Agencies
Campaign Cabinet
Frequently Asked Questions
How to Become a Partner Agency
Our Team
Our Work
News
Community Impact
Community Impact RFPs
Our Community Impact Patnerships
The importance of Community Impact
Education
Dolly Parton Imagination Library
"It Takes a Village" Mentoring Program
Income
MyFreeTaxes
Campaign
Campaign Materials
Corporate campaigns
Workplace Census Form
Health
FamilyWize
Emergency Food and Shelter Funds
Small Town Heroes
Healing Illinois
Events
2020 Imagination Ride
Day of Action
Lincoln Douglas 5K
2018 Unsung Heroes
Celebrity Dinner 2018 Photos
Day of Action 2017
Champions of Change 2017
Contact Us
2020 Celebrity Dinner Attendee(s)
Contribution Amount
Regular Table -
$ 280.00
Individual Ticket -
$ 35.00
Couple Ticket -
$ 70.00
Other Amount
Other Amount $
Email Address
*
I am contributing on behalf of an organization.
Organization Details
Organization Name
*
Phone (Main)
*
Email (Main)
*
Street Address
*
City
*
Postal Code
*
Country
*
- select -
United States
State / Province
*
- select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Name and Address
First Name
*
Last Name
*
Street Address (Home)
City (Home)
State (Home)
- none -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal Code (Home)
Payment Options
Payment Method
*
eCheck
Credit Card Online
I will send payment by check
Dinner
Phone
Table choice
*
- select -
Please seat me at a specific table
Please find a table for me to sit at
Please seat me at a specific table
Requests
EDUCATION
INCOME
HEALTH