Ticket Purchase | DC Event | 9.12.17

Event Location:

TAKODA Restaurant & Beer Garden

715 Florida Ave NW
Washington, DC 20001


Please submit this form to purchase a ticket or make a donation. If you're a young adult survivor of childhood cancer, you may be eligible for a complimentary ticket to this event. Please contact Charlcie at csteuble@childrenscause.org to inquire about availability!


Thank you for your support of our mission to help children with cancer live long, healthy lives.

Event Name*
  • DC Event 2017
Will you be attending?*
  • Yes, I/We will be attending
  • I am unable to attend but would like to make a donation
Donation Amount*
  • 1 Regular Ticket: $75
  • 2 Regular Tickets: $150
  • 1 Young Professional Ticket: $35
  • 2 Young Professional Tickets: $70
  • Other $

* If you’d like to make a ticket purchase outside these suggested levels (i.e. 3+ tickets), please select "Other" and put your donation amount in the "Other" field. Then, tell us in the Comments box below how many tickets you would like to purchase and the names of additional attendees.

Number of Tickets (0,1,2)*
Guest 1 Name
Guest 2 Name
This gift is in Honor/Memory of

Contact Information

Your personal contact information is important to us and we will not give it out. If you choose not to get further emails from us, you will not receive our advocacy alerts, e-bulletins, or invitations to special events and other updates on childhood cancer issues.

State / Province*
Confirm Email*

Payment Information

Name on Card*
Card Number*
Additional Comments

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