Author: EVDHOTELSALES

Name/Business:________________________________________________________
Contact person: ___________________________ Email _______________________
Address: ______________________________City _________________State____ Zip_______
Phone #: ______________________________ Fax #: _____________________________
As name should appear on sign: _______________________________________________
Amount Paid: ________________ (Make checks payable to American Cancer Society)
Circle One: Cash Check VISA MC AMEX Discover
Card Number:____________________________________________ Exp. Date:______________
———————————————————————————————————————
Team member name: _____________________________________________________________
Team name:____________________________________________________________________
Parish: ____________________________________________________________________________________
Please fax or mail completed form no later than April 10, 2016 to guarantee printing.
Make checks payable to: American Cancer Society
Mail to:
American Cancer Society
920 Pierremont Road, Suite 300 · Shreveport, LA 71106
Fax: 318.865.4831

Relay for Life of Rapides Parish
Event Date: April 29. 2016
CANCER FACT SIGN & EVENT BANNER SPONSOR FORM

Cancer Fact Sign Sponsor $100
Sponsor’s name will be placed on a cancer fact sign around the track

Event Banner Sponsor
$200
All Sponsor’s names will be placed on the bottom of the Relay For Life event banner recognizing all event sponsors.
Note: Only one banner printed per event