2021 Gala Club Account Purchase

Thank you for registering to join us! Please complete and submit the form below to pay for your ticket/sponsorship by Union League Club account.
Name(Required)
Address(Required)

Ticket Options

Please select from the following ticket options.
Price: $350.00
Price: $3,350.00
Price: $275.00
Price: $150.00

Payment & Additional Information

Please complete the following
Have you completed your COVID vaccination (i.e. have you received the final dose 14 days ago or longer)? You will receive a separate form asking about vaccinations to share with your guests for them to complete as well.(Required)
Please select your preferred payment method.(Required)
If paying by check, please make it payable to "Union League Boys & Girls Clubs" and mail it to 65 W Jackson Blvd, Chicago, IL 60604 and make it to the attention of "Marina Del Cid".
This form is confidential and the account number will only be used for this one charge.
If paying by Union League Club account, please check the box below to authorize us charging your account.