top of page

CCCHC Fundraising Dinner Registration Form

Please fill out the form below to register for the 2022 Fundraising Dinner. After filling out the form, please use the buttons below the form to pay the ticket or sponsorship fee. A general ticket is $50 dollars per person. If you are bringing guests, you must purchase the tickets for each guest in order to complete registration.

Registration Form Dinner 2022

Thank you for your support. Please make sure to use the buttons below to complete the payment!


If you wish to become a sponsor or sponsor a table, please select the appropriate package below and click "Buy Now". 

Click here to view sponsorship levels.


You can also mail a check with your selected sponsored amount to our mailing address at:

CCCHC,PO Box 5005, Champaign, IL 61825

Ticket Purchase

To purchase tickets for our upcoming fundraising dinner, please click the button below. Then select the number of tickets under quantity and click "Add to Cart".

RSVP by March 28, 2022

If you miss the deadline, please call us at 217-398-2914 to check for availability

or email us at

bottom of page