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Finding Strength in Each Other
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Team Form

Team Captain's Packet

Request Form

To become a Relay For Life Team Captain, complete and return this form today!

Name:
Address:
City:
State:
Zip Code:
E-Mail Address:
Phone:
Please check all that apply: Yes, I'll form a Relay For Life Team - Send me a team packet
  Yes, I'm interested, please contact me
  Yes, I'll volunteer to serve on the Relay For Life Planning committee
  I cannot participate, but would like to make a
tax deductible donation of $_______________.
      ____ Visa ____ American Express ____ Mastercard
      Number: _________________________________
      Expiration Date: _______________
(please print and send this form to the address below if making a donation)
   
 
  American Cancer Society
Relay For Life of Ripon
3311 S. Packerland Drive
De Pere, WI 54115
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