We invite you to celebrate your victory against cancer and the hope for a cure during
the American Cancer Society Relay For Life in Chippewa County. We will have a reception for Survivors
beginning at 6:00 p.m. , July 25, 2008 and the Survivors' Victory Lap being held at approximately 7:30 p.m. the same evening. We also encourage you to invite those who have supported you or other family and friends who are cancer survivors. All Survivors will be honored with a t-shirt. You do not have to be part of a team to participate in the Survivor's reception and victory lap. All survivor's are WELCOME!
A luminaria will be lit in your honor at our Luminaria Ceremony which will take place at dusk the night of the event. Please feel free to register yourself or someone you know as a survivor.
Be assured that we will not publish your personal information.
If you have questions, please contact:
Teresa Repaal
Spectrum Industries
PO Box 400
Chippewa Falls, WI 54729
715-723-6750
trepaal@spectrumfurniture.com
Cancer Survivor Registration
Last Name:
First Name:
Address:
City:
State:
Type of cancer:
Phone:
Email Address:
How long have you been a cancer survivor?
Are you already on a team? Yes  No
Would you like to volunteer to help with survivorship activities? Yes  No
I have received an invitation by mail. Yes  No
I would like to RSVP. Yes  No
My T-Shirt Size:

 

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