RELAY FOR LIFE OF GUAM 2015 LUMINARIA ORDER FORM Each year at the American Cancer Society’s Relay For Life, we light thousands of luminaria bags around the world as a special tribute to those who are fighting cancer, those we have lost, and the many friends and family members who represent victory over the disease. Your Name: Team Name: Phone #: Email: Luminaria Only ($12 minimum) Luminaria and Dedication in Booklet ($22) Bag number: _________________________ I will decorate my Luminaria bag DEADLINE to Submit Decorated Luminaria Bags: May 14, 2015 I want ACS to prepare my Luminaria Bag. Please decorate as described below: Dedicated By: In Honor Of: In Memory Of: Make check payable to AMERICAN CANCER SOCIETY Deliver Form to: Guam Field Office, 479 West O’Brien Drive, Suite 102, Hagatna, GU 96910 477-9451 ACS Office/Volunteer Use Only Cash Check #: Amt PD: Form Accepted By: Date Created/Submitted: Note: Luminaria will be available at the event for $20, (while supplies last) LUMINARIA BOOKLET DEDICATION INSTRUCTIONS Color Photo Here DEDICATED TO: Message: 1. Dedication (quarter page size) can only be purchased in addition to a luminaria. (Not available separately). 2. Submit all orders to the ACS Office (Bank of Guam, Santa Cruz Branch in Hagåtña) between 9:00 AM to 4:00 PM, Monday to Friday. If you are submitting a dedication to a Team Captain, please ensure that they turn in the dedication by the deadline. Note that ACS Office Staff will not be responsible for dedications not submitted on time. 3. Deadline to submit ALL dedications is TUESDAY APRIL 14, 2015. NO EXCEPTIONS. This deadline is necessary to ensure booklets are produced and printed in time for Relay For Life Event, May 22, 2015. 4. Keep in mind dedications will be scanned into the booklet. Therefore, all decorations for the dedication must be smooth and flat and stay within the box to the left. 5. Dedications will not be returned. Therefore, copies of color photos are encouraged (no originals, please). From:
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