LIGHT THE NIGHT WITH LUMINARIA
At the Relay For Life of Coweta County – May 12, 2017
The Luminaria Ceremony is the soul of Relay For Life. At dusk, we quietly remember those whose lives have been touched by
cancer. With the soft glow of the luminarias and the somber sound of the bagpipes, we walk our Luminaria Lap reflecting on the
courage and strength of all who have been affected by cancer.
The Luminaria Ceremony will begin at 9:00 p.m.. Whether you participate in person or in spirit, this is your chance to support
the American Cancer Society's fight against cancer..
Luminaria Options:
White Bag - $10
Gold Bag - $25
Caregiver Bag - $10
Torch - $100
Make checks payable to: American Cancer Society
Donor may take home the name plate and torch at the closing of Relay
_______________________________________________________________________________________
**********Please fill one form out for each luminaria/torch
purchased.**********
________________________________________________________________________________________________________________________________________________________________
1. NAME ON LUMINARIA_________________________________________________________________
Given by__________________________________Email/Phone_________________________________
Person/Team to receive credit______________________________________________________________
_________Memory
________Honor
____White bag
____Gold bag ____Caregiver bag ____Torch
$__________
_________________________________________________________________________________________
2. NAME ON LUMINARIA_________________________________________________________________
Given by__________________________________Email/Phone_________________________________
Person/Team to receive credit______________________________________________________________
_________Memory
________Honor
____White bag
____Gold bag ____Caregiver bag
____Torch
$__________
_________________________________________________________________________________________
Please mail donation & form to:
American Cancer Society
P. O. Box 73408
Newnan, GA 30271
For info call/text 770-328-4296 or email [email protected]
3. NAME ON LUMINARIA_________________________________________________________________
Given by__________________________________Email/Phone_________________________________
Person/Team to receive credit______________________________________________________________
_________Memory
________Honor
____White bag ____Gold bag
____Caregiver Bag
_____Torch
$__________
_______________________________________________________________________________________
4. NAME ON LUMINARIA_________________________________________________________________
Given by__________________________________Email/Phone_________________________________
Person/Team to receive credit______________________________________________________________
_________Memory
________Honor
____White bag ____Gold bag
____Caregiver Bag
_____Torch
$__________
_______________________________________________________________________________________
5. NAME ON LUMINARIA_________________________________________________________________
Given by__________________________________Email/Phone_________________________________
Person/Team to receive credit______________________________________________________________
_________Memory
________Honor
____White bag ____Gold bag
____Caregiver Bag
_____Torch
$__________
_______________________________________________________________________________________
6. NAME ON LUMINARIA_________________________________________________________________
Given by__________________________________Email/Phone_________________________________
Person/Team to receive credit______________________________________________________________
_________Memory
________Honor
____White bag ____Gold bag
____Caregiver Bag
_____Torch
$__________
__________________________________________________________________________________________
Please mail donation & form to:
American Cancer Society
P. O. Box 73408
Newnan, GA 30271
For info call/text 770-328-4296 or email [email protected]
.