Cancer Awareness Registration Form

“FOR WE WALK BY FAITH, NOT BY SIGHT”!

October 9, 2010


‘FOR WE WALK BY FAITH, NOT BY SIGHT’   (See photos from 09')


First Name: Last Name:
Address: City:
State: Zip:
Telephone: Email:
How has Cancer affected your life?  :  
    Would you like a minister to contact you for prayer?  Yes  No



Support the Cancer Walk by purchasing a T-Shirt @ $13.00; Hats @$10.00.  T-Shirts available in S M L XL 2XL - 4XL 
(Purchase in person from Sis. Simpson)