MEMBERSHIP

Please support the Foundation by becoming a new member or renewing your membership using the form below. By becoming a member, not only will you support the Foundation and its causes, you will be able to take part in the different social activities and outings like the Ravinia and golf outings that occur annually.

Individual - $25 per person:
Junior (Under 21 or in college) - $10 per person:
Family - $50 per family:
Corporate - $100 per corporation:
Additional Donation:
Total Amount:

Names:
Email:
Address:
City:
State:
Zip:
Phone:
I’m interested in learning more about volunteer opportunities
If you prefer to pay by check, please print the complete form and mail it along with a check payable to: Susan F. Lasky Cancer Foundation PO Box1353 Northbrook, IL 60065