Signature Room at the 95th - When the Sky is the Limit...

The Signature Room at the 95th®
875 N. Michigan Ave.
Chicago, IL 60611
Phone: 312.787.9596
E-Mail

Signature Room Charity Application

Organization Name:
Address:
Suite/Apt. No.:
City:
State:
Zip Code:	(ZIP Code)
Phone Number:	(Phone Number)
Fax Number:	(Phone Number)
Website:	(URL)
E-mail:	(E-mail)
Contact Name:
Title:
Mission Statement:
	*Additional Requirements/Attachments:* 501 (c) (3) Federal Tax Exempt Letter Brochure, newsletter, news clippings, or other literature that describes the work and services organization provides to community. Impart a 10-15 minute presentation to Signature Room staff on services organization provides to community. Scheduled date to be included in notification letter.

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