Event Name: Event Date

Event Name:____________________________________ Event Date:_________________ Please select a box, donate and sign your name! $2-One each for my parents

$2 because I’m proud of you

$1 for someone fighting cancer

$1 for my sister

$1 to encourage healthy lifestyles

I’ll donate the cost of a soda=$1

Sure here’s a buck!

$5 just because

$2 to fight leukemia!

Sure, here’s a buck!

$2 for:

$1 for my aunt

$2 in honor of Mom

Sure, here’s a buck!

$2 for:

$3 for:

Here’s $5. Thanks for fighting!

$1 so my grandchildren won’t worry about cancer

$2 for:

$3 because I believe in you!

$2 to Fight the Fight!

$4 in honor of:

$2 to fight pancreatic cancer

$1 for my kids

$2 to END lung cancer

$2 for:

$4 in memory of:

$5 to fight childhood cancer

$4 for a future with less cancer

$5 to help buy a wig

$5 to fight breast cancer

$1 for:

4 quarters for cancer prevention

$2 in honor of my friend

$1 for:

$2 for my first grandchild

$1 for:

$1 for:

$1 to help people quit smoking

$1 for sun safety

$1 for my dad

Curing cancer is worth $10 to me!

Continuing research is worth $1 to me

I’ll finish the fight! $2

Thank you for supporting my fundraising efforts and the American Cancer Society! Team Member_______________________________________ Team Name_________________________________________ Team Name:_________________________________________