ACS Skyline Soiree 2022 - Hall of Hope: Commitment Form

Hall of Honor: Commitment Form

Please submit your Commitment Form by Friday, August 15, 2022.
At Skyline Soiree 2022, we will feature a Hall of Hope where guests can honor a cancer survivor, someone who is fighting cancer, or a lost loved one.

Your donation of $250 supports of the Society’s vision for a future in which cancer no longer threatens those we love. We invite you to add to our Hall of Hope by submitting the following by Friday, August 15, 2022:
Your Name:*
Email:*
example@example.com
Phone Number:*
Name of your loved one:*
Two sentences (maximum) describing your loved one or their cancer journey:*
Cancer Type [optional]:
Important dates [optional]: Date and/or age of diagnosis, date of remission, date of birth - date of death.
Click below to upload a high resolution photo of your loved one.*

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I wish to pay online via credit card. (Note: You will be directed to the GiveSmart website payment site after clicking 'Submit' below.)I will mail a check to the American Cancer Society within 30 days of my commitment: Skyline Soiree Office, American Cancer Society, PO Box 10393, Chicago, IL 60610. (Note: We will send you a specialized invoice with remittance information.)Please contact me to pay via wire or ACH.
The safety of participants, volunteers, cancer survivors, and staff is always our top priority. We regularly assess potential for in-person events and strictly adhere to all federal and local health department guidance including event size. Thank you for your partnership in this endeavor.
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Hall of Honor: Commitment Form