Author: Amanda German

Luminaria Order Form Relay For Life of Bloomington /Normal High Schools
www.relayforlife.org/mcleanil
June 27-28, 2014

When the sun goes down at every American Cancer Society Relay For Life event, hope shines the brightest. During the Luminaria Ceremony, hundreds of Luminaria light the track to celebrate the lives of those who have battled cancer, remember those who have lost their battle, and fight back against a disease that has taken too much. This ceremony of light symbolizes the hope and perseverance with which we all continue to fight.
You can give to the American Cancer Society and keep the flame of hope lit by ordering a Luminaria in memory of someone lost to cancer or in honor of someone still fighting or who has beaten the disease.
The suggested Luminaria donation amount is $10 each. Please send your tax deductible donation, payable to the American Cancer Society, and the bottom portion of this form to:
American Cancer Society
ATTN: RFL of B/N High Schools
4234 N. Knoxville Ave.
Peoria, IL 61614
To ensure delivery of your Luminaria prior to the event, be sure to mail your donation along with your form below by May 4th, 2014.
Then, please join us for our Luminaria ceremony, which will be held at 9:00 p.m. on May 9, 2014.

Your Name: ___________________________________________________________________________
Address: ______________________________________________________________________________
City, State, ZIP:_________________________________________________________________________
In Honor of □ In Memory of □ Name: ______________________________________________________________________________
Remembered By: ______________________________________________________________________
In Honor of □ In Memory of □
Name: ______________________________________________________________________________
Remembered By: ______________________________________________________________________
In Honor of □ In Memory of □
Name: ______________________________________________________________________________
Remembered By: ______________________________________________________________________

Total Enclosed: _____________ ($10 per Luminaria)
Credit Donation to: □ Participant:_________________ OR □ Team_________________________