Relay For Life Florida Keys

   Relay For Life Florida Keys

   Relay For Life Florida Keys

      
Visit the Upper Keys Relay For Life Home Page


Visit the Middle Keys Relay For Life Home Page


Visit the Lower Keys Relay For Life Home Page


Volunteer Now!


Relay For Life
Florida Keys
Home Page


Visit the American Cancer Society's Relay For Life Home Page


 Use this form to Volunteer to Help us, to Request Information, to make a PLEDGE, or to sign up for the RELAY FOR LIFE (see immediately below). CANCER SURVIVORS who wish to walk the VICTORY LAP can click HERE.
How You Can Help...
(answer "yes" to as many items as you wish).
Then fill in your personal information below.
We will contact you soon.
I am Interested In:
Registering a Team: Yes No
Joining a Team that Needs More Members: Yes No
Volunteering to Help With the Event: Yes No
Donating Food Items, Door Prizes, or Other Goodies: Yes No
Making a Donation: Yes No
Being a Corporate Sponsor: Yes No
Luminary Information
To Buy a Luminary Bag in Memory of or in Celebration of (fill in below): Please provide the name of each individual you wish to honor or celebrate.
If you wish to purchase more than (4) luminaries, please submit additional forms.
Then fill in your own personal information further down in this form.
Click here For more information on Relay For Life Luminaries

THANKS YOU FOR YOUR SUPPORT!

Click one:In Memory Of In Celebration Of
First name
Last name

Click one:In Memory Of In Celebration Of
First name
Last name

Click one:In Memory Of In Celebration Of
First name
Last name

Click one:In Memory Of In Celebration Of
First name
Last name

VOLUNTEER, PLEDGE or Request more Information

Answer "yes" to any or all of the options. Then fill in your personal information below. We will contact you soon.
I wish to VOLUNTEER (fill in personal information below): Yes No
Call me with more information: Yes No
I wish to MAKE A PLEDGE
(fill in personnal info & pledge amount in COMMENTS below): Yes No
I am a Cancer Survivor who wishes to walk the Victory LapYes if "YES", please fill in personal information below:
PERSONAL INFORMATION
First name
Last name
Street address
City
State/Province
Zipcode
Home Phone
Work Phone
Extension
FAX
E-mail


Enter any Comments below.
If PLEDGING, Please include Amount WE WILL BE IN TOUCH SOON...


Do you have a WEB Site?
Enter the Title of your Website.


Enter the ADDRESS of your Website..
(ie. http://www.yoursite.com)

Please make sure all information is correct before submitting.

THANK YOU FOR YOUR HELP IN THE FIGHT AGAINST CANCER
TOGETHER WE CAN MAKE A DIFFERENCE!