2021 Taste of Viator House-Pay by Check

A 2021 Taste of Viator House 

Cooking Show/ Raffle/ Sponsorship/ Donation Form

PLEASE PRINT THIS PAGE AND ENCLOSE WITH YOUR CHECK                      

Name __________________________________________________________

Street Address___________________________________________________

City______________________________________ State ______ Zip

email_____________________________________________________

 

______# Cooking Show  @$100 each = $ __________ 

______# Sponsorships  @$1000 each = $ __________ 

______# Raffle Tickets for Dinner for 8 with Dave Esau @ $100 each = $ __________ 

Donation Amount $ ____________ 

  • $5000–A year’s rent for one participant
  • $2000–One month’s groceries for 25 participants
  • $1000–Clothing for 10 new participants
  • $500–CTA/PACE passes for 10 participants attending school
  • $250–Five emergency cell phones
  • $100–Basic clothing for one new participant

 $ ____________ Total Amount Enclosed

Make check payable to:

Viator House of Hospitality

1212 E. Euclid Avenue

Arlington Heights, IL  60004

Questions: email Julie Furmanski at admin@viatorhouse.org