Home > 72nd Charitable Ball Ticket & Ad Form

72nd Charitable Ball Ticket & Ad Form

72nd Annual Charitable Ball

Ticket and Advertisement Form

Name

Name(Required)

First Last

Email

Email(Required)

Phone

Phone

Billing Address

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Tickets

Secure your Early Bird discount by December 15, 2026!

Ticket prices rise to $460 for Regular Guests and $260 for Students afterward.

Guests:

Price: $410.00

Purchase 10 tickets (table) and receive $100 off!

Students/Residents:

Price: $230.00

STUDENTS/RESIDENTS: The discount applies ONLY to students and residents. If accompanied by another person who is not a student or resident, please pay the full price.

List of Guests

If you’re purchasing an advertisement or contributing a donation only, select “no attendance” under Dinner Selection. No ticket purchase is required. Otherwise, please enter names, meal preferences and optional email addresses for all attendees you are purchasing tickets for.

ATTENTION institutional purchasers: If you do not know all the names of the attendees from your institution yet, please populate your own name to the unknown name fields. Please contact us at pams@zlpchicago.org once the missing names and meal preferences are available.

Name	Email	Dinner Selection (if applicable)	Actions

There are no entries.

SEATING PREFERENCES

(Please, list the guests you wish were seated at your table)

Advertisements

Advertising

Advertising Rates
The Abstract and Program Advertisements Can Help Your Business. Please be sure to include clean artwork when possible. If you don’t have artwork, write down your greeting card and attach a business card. We will do the ad for you. Camera ready art also can be emailed in PDF or TIF format once payment has been arranged. We can also use your ads from previous PAMS campaigns that you have generously supported.

Advertising Rates:

First Back Cover 7.25(w) x 9.7(h)

Inner Cover Page 7.25(w) x 9.7(h)

Full Page 7.25(w) x 9.7(h)

Half Page 7.25(w) x 4.75(h)

1/4 Page 3.5(w) x 4.75(h)

Upload Advertisement Media

Add file

Drop files here or

Max. file size: 512 MB.

Name of the Company or Business To Be Advertised

Business Name To Be Advertised:

The deadline for advertisement submissions is January 5, 2027.

Donations

Make a Donation
Please Enter Value in Whole Dollars

Donation Amount:

Payment Options:(Required)

ATTENTION attendees from outside of the US: if you have issues paying by credit card directly, please click “Want to pay online,” then select PayPal Checkout as a card Payment Method below, (no PayPal Account is necessary for most countries, just deselect the”create your PayPal account” button when navigating through prompts.) No international checks will be accepted.

Want to pay online

Total

Payment Method:

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name