Please join us in this event.
Relay For Life
Luminary Order Form
Make checks to: American Cancer Society
Mail to: Myla Stoneking, 1608 Susan Avenue, Cherokee, IA 51012
All proceeds from luminary sales go to the American Cancer Society to be used for research, education, advocacy and patient services. A suggested donation of $10.00 is requested. Please print your information.
Amt. Enc. $ No. ordered
Please circle one:
Message to be printed on the luminary:
Do you want your name on the Luminary?
Donor's Name _