Contact Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

Event Information

Proceeds from ticket sales and event sponsorships help provide services for uninsured or underinsured Lee Carlson Center clients who make up roughly 70% of those we serve across all of our programs.

Quantity
Price
Total
Chili Only

Sample Chili Only (no beer)

X
$
25.00=
$
0

Chili & Beer

Sample Chili & Beer- $45 ($10 off before 2/15)

X
$
35.00=
$
0

10 Pack of Tickets

Good for both ticket types (chili only and/or Chili & Beer)

X
$
300.00=
$
0

Team Registration Fee

For those signing up be a Chili Team

X
$
150.00=
$
0

Final Total:
$
0

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

Security Code