walker & rider registration
please
check
one:
Walker ��� Individual
Rider ��� Individual
Walker ��� Team
Rider ��� Team
I can���t walk or ride,
but I would like to
make a donation!
$_____________
Individual name: ____________________________________________________________
Team name if applicable: ______________________________________________________
saturday, sept. 15
at the MEDICAL ARTS CENTER
in DOWNTOWN FAYETTEVILLE
Signature:__________________________________________________________________
Address: ___________________________________________________________________
City/State/ZIP: ______________________________________________________________
Chances are you know someone who is ���ghting
cancer ��� a friend or family member. There is
something you can do to support those who are
���ghting cancer here at home. Show that you care.
Make a comittment today. Join us at the
Ribbon Walk & Ride for cancer.
To register, simply complete the registration
form and bring it with you on Saturday.
Phone: ____________________________________________________________________
Email: ____________________________________________________________________
the t-shirt...
All participants will recieve a T-shirt with a $25 registration or donation.
*While sizes and supplies last.
please check one size:
Small
Medium
Large
X-Large
the details...
Please bring completed form to the event
at the Medical Arts Center,
101 Robeson Street, Downtown Fayetteville
For more info, please call 615-1434 or visit
www.RibbonWalkForCancer.org
Please make checks payable to:
Cape Fear Valley Health Foundation
XXX-Large
Supporting
our Survivors!
Are you a cancer survivor?
Yes, I���m a survivor!
We support all cancer survivors.
Did you know? You can pre-register
online at www.RibbonWalkForCancer.org
WWW.UPANDCOMINGWEEKLY.COM
XX-Large
For a discounted $15 registration,
all cancer survivors will receive a
special survivor���s T-shirt.
SEPTEMBER 12-18, 2012 UCW
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