The
American Cancer Society
Presents
the
3rd
ANNUAL
RELAY
FOR LIFE!
July 24 & 25, 2004
It’s a 24-hour Celebration of Life &
Camp-Out Fundraiser for a
Cancer Cure.
YES! I WANT MORE INFORMATION
Please check what you are
interested in and contact L. LaShawndra Pace at American Cancer Society,
Attn: Santa Monica Relay For Life, 5731
West Slauson Ave., Ste. 200, Culver City, CA 90230, 310.348.0356 option 3/ext
246, Fax: 310.348.2328, lpace@cancer.org.
q Be on the Planning Committee
q Be a Corporate Sponsor
q Form a team
q Volunteer on the (day of the
event)
q I am a Cancer Survivor and would
like to be apart of the Survivor Activities!
q More information about American
Cancer Society’s Programs & Services.
q Make a donation: Amount:__________ Cash:______ Check:________
Credit Card:
#__________________________ Exp.______ Signature: ________________
Name:
________________________________________________
Company: _____________________________________________
Address: ______________________________________________
City: __________________________ Zip: ___________________
Work Phone:
___________________________________________
Home Phone: ___________________________________________
Fax:
__________________________________________________
Email: _______________________________________________