American Cancer Society
American Cancer Society
Relay For Life
of University of Northern Iowa
Light the way to a cure . . .
On Friday, April 17, 2009 a special luminaria ceremony will take place at the Relay For Life of UNI to remember and honor family and friends who have battled cancer.
With your suggested $10 donation per bag, a luminaria will be placed along the Relay For Life of UNI pathway to memorialize or honor someone you love. A personal message can be added to the luminaria along with the individual’s name.
|In |In |Name to be put on each luminaria bag |
|memory|honor|Message |
|of |of | |
( ( Bag 1: ______________________________________
____________________________________
( ( Bag 2: ______________________________________
____________________________________
( ( Bag 3: ______________________________________
____________________________________
Your Name: ___________________________________________
Address: ______________________________________________
City: _________________________________________________
State: ______________________Zip: _______________________
Phone: (_____)_________________________________________
Make your check payable to: American Cancer Society and return to your Relay Team Captain or mail with this form to:
Relay For Life/Colleges Against Cancer
Student Organizations Center
Maucker Union 0166
Cedar Falls, IA 50614-0166
American Cancer Society
Relay For Life
of University of Northern Iowa
Light the way to a cure . . .
On Friday, April 17, 2009 a special luminaria ceremony will take place at the Relay For Life of UNI to remember and honor family and friends who have battled cancer.
With your suggested $10 donation per bag, a luminaria will be placed along the Relay For Life of UNI pathway to memorialize or honor someone you love. A personal message can be added to the luminaria along with the individual’s name.
|In |In |Name to be put on each luminaria bag |
|memory|honor|Message |
|of |of | |
( ( Bag 1: ______________________________________
____________________________________
( ( Bag 2: ______________________________________
____________________________________
( ( Bag 3: ______________________________________
____________________________________
Your Name: ___________________________________________
Address: ______________________________________________
City: _________________________________________________
State: ______________________Zip: _______________________
Phone: (_____)_________________________________________
Make your check payable to: American Cancer Society and return to your Relay Team Captain or mail with this form to:
Relay For Life/Colleges Against Cancer
Student Organizations Center
Maucker Union 0166
Cedar Falls, IA 50614-0166
American Cancer Society
Relay For Life
of University of Northern Iowa
Light the way to a cure . . .
On Friday, April 17, 2009 a special luminaria ceremony will take place at the Relay For Life of UNI to remember and honor family and friends who have battled cancer.
With your suggested $10 donation per bag, a luminaria will be placed along the Relay For Life of UNI pathway to memorialize or honor someone you love. A personal message can be added to the luminaria along with the individual’s name.
|In |In |Name to be put on each luminaria bag |
|memory|honor|Message |
|of |of | |
( ( Bag 1: ______________________________________
____________________________________
( ( Bag 2: ______________________________________
____________________________________
( ( Bag 3: ______________________________________
____________________________________
Your Name: ___________________________________________
Address: ______________________________________________
City: _________________________________________________
State: ______________________Zip: _______________________
Phone: (_____)_________________________________________
Make your check payable to: American Cancer Society and return to your Relay Team Captain or mail with this form to:
Relay For Life/Colleges Against Cancer
Student Organizations Center
Maucker Union 0166
Cedar Falls, IA 50614-0166
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