Name: _________________________________________________________ Telephone: ( )______________________________
Address: _____________________________________________ City/State/Zip: _______________________________________
Email: _____________________________________________ Organization: __________________________________________
_____ Please reserve _______ seats @ $80.00 each = $_________________
_____ I am unable to attend, enclosed is my Donation of: $___________
_____ FULL PAGE COPY READY AD $100.00
_____ Raffle Ticket(s) @ $20.00 each = $_______________________________
Mail to:
Elvin J Carey Living Memorial
CO: American Legion Post 236 (Attn: EJCLM)
3728 South Indiana Avenue, Chicago, IL 60653
Chicago, IL 60653
Please direct any questions to
Derrick David Stinson
(773) 330-5219
[email protected]
Mark Stroud, Jr, Chairman
(773) 750-6450
Thank you for reaching out . We look forward to connecting with you and will respond as soon as possible.
For immediate assistance, you can also reach out to Derrick David Stinson at 1(844)767-8236. Thank you for your support!