Cancer Awareness Set Order Form

The lodge is producing 100 of each of the above patches. We will pre-sale 40 complete sets ($100). This set is limited to one per person. Pre-sale will continue until February 21, 2021. Purchase today to secure a complete set.

This online form is ONLY for COMPLETE SET orders. See below for more information on the project. CLICK HERE to view the entire set.

At least 50 of each flap will be sold at functions during the year. The first 3 flaps will be sold at Winter Fellowship. We will sell to youth then adults, limit of 1 of each per person per function. Cost will be $5 per flap at functions. Any remaining flaps from one function will be sold at the next function along with the next 3 in the series. Three flaps will be released at Winter Fellowship, Spring Fellowship, Ordeal, Fall Fellowship and the banquet.

Proceeds from the patch sales will be donated to local charitable groups that assist with our fight against cancer.

Name *

First Name Last Name

E-mail

Contact Number

Area Code Phone Number

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

My Products *

Aracoma Cancer Fundraiser Set (2021) $ 100.00

Limit 1 set per person

Shipping Cost (optional - only if you want your set shipped) $ 5.00

Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Cancer Awareness Flap Set