Author: Katie.McCarty

Dedicate a “Light of Hope!”
You can make a real difference and help save lives by making a contribution to the American Cancer Society to CELEBRATE/Honor a cancer survivor, to REMEMBER/Memory a loved one who lost their fight against cancer, or to FIGHT BACK by honoring a caregiver or other worker.

Luminaria Bag $10 donation
Have a bag decorated & lit around the track for your loved ones.

Sky Lantern $25 donation
Have a sky lantern released in the name of your friend or loved one!

Torch of Hope - $50 donation
Along with the torch, an engraved plaque will be displayed, and you can keep it after the event.

DEADLINE TO ORDER: Torches must be ordered no later than April 1, 2015. Luminaria bags and sky lanterns will be available until 8 p.m. the night of the event.

American Cancer Society
2015 Relay For Life of Richland Parish
April 10, 2015 * 9:00PM
Given by: ____________________________________________
Donor phone number: _________________________________
Donor Email:_________________________________________
(Please make checks payable to the American Cancer Society)
Please mail this form and your contribution to:
American Cancer Society
1761 North 19th Street · Monroe, LA 71201
Fax: 318.361.0718
Team to be Credited:___________________________________

Choose Your Light / Luminaria / Torch / Sky Lantern / **One Per Line**	Celebrate/Honor / Remember/Memory / Fight Back/ Caregiver	Name of Individual