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Referral Inquiry Form

This inquiry form is the first step to receiving a wish – it is not confirmation of eligibility for a wish. Your information will be forwarded and you will be contacted by a member of our wish-granting team.

Sí, hablamos español

Formulario de Recomendación en Español. Imprimir y fax al 312.602.9499 o por correo electrónico. Llame 312.602.9446 con preguntas.

Descargar el formulario (PDF)

Make-A-Wish® Illinois
640 North LaSalle Drive
Suite 280
Chicago, IL 60654
(312) 602-9474
Toll Free (800) 978-9474