Relay for Life Request Form

Relay for Life Luminary Form

HOPE LIGHTS THE WAY ! Luminaries, with honorees' names prominently displayed on white bags, will provide a glowing inspiration throughout the night as they light the path around the track for the Relay participants. These Lights Of Love will serve as a reminder that cancer has touched so many families in our community. Luminaries allow us to pay great tribute to the memory of our loved ones who have lost their battle with cancer and honor those who continue their valiant fight.

Please print and fill out this form below and enclose $10 for each luminary purchased. Make the check payable to the American Cancer Society for the total amount and mail to the address below. Your canceled check will serve as a receipt for your tax-deductible contribution.

Thank you for joining in our fight against cancer. Hope begins with you.

Your Name:
Address:
City/State/Zip:
Phone Number:
PLEASE PRINT NAMES BELOW:
In Memory of:
In Memory of:
In Honor of:
In Honor of:

Enclosed is my donation of: $_______ *

If you would like an acknowledgement sent to a family member, please print their name and address :

Please mail donations to:

WATAUGA COUNTY RELAY FOR LIFE
c/o Gail Fox
PO Box 155
Vilas, NC 28692