Lights of Life

Send a Light of Hope this holiday season to someone you love!

For a $5 donation, honor a special person in your life with a gift that will help provide better cancer treatments. For a $15 donation send your honoree one of three beautiful pins - a crystal pink breast cancer awareness pin; a crystal lavender cancer awareness pin; and a hope lapel pin.

Honorees receive a card informing them that a light shines in their honor, or in memory of someone who will never be forgotten. Honorees and donors are invited to attend a tree lighting ceremony to light hope for all who have been touched by cancer.

The trees will be lit with pink and lavender lights - pink for breast cancer, and lavender to bring awareness to all cancers.

All funds raised by this program support the non-profit Community Cancer Research Foundation, working to bring the advances being made in cancer research today to area residents. The Community Cancer Research Foundation supports more than 30 cancer research studies through the hospitals of the Community Healthcare System: Community Hospital in Munster; St. Catherine Hospital in East Chicago; and St. Mary Medical Center in Hobart.

Tree Lighting Ceremony for Donors and Honorees
Wednesday, December 4, 2013 / 6 pm
Community Hospital Outpatient Entrance
Munster, Indiana

Lights of Life Order Form

Each light represents a $5 donation. For a $15 donation, a Breast Cancer Crystal Pin, a Cancer Awareness Crystal Pin or a Hope Lapel Pin can also be sent. A card will be sent to light up your honoree this holiday season.

Pins

After completing the form below, you will be presented with your total and options for payment (either mailing a check or paying online with PayPal). Checks should be made payable to the Community Cancer Research Foundation.

Please note: Names received after November 22nd cannot be guaranteed a listing at lighting ceremony. Cards and pins are sent to honorees through Dec. 31, 2013. Names are added to the tree display through Dec. 31, 2013. For more information, call 219-836-6875.

You can also Download a PDF version of the order form and print/mail your order.

Your Name:

Address:

City, State, Zip:
,   

Phone:

Email:

Item #1:

In honor of     In memory of :

Send gift card to: (name & address)

Please select item:
Light ($5 Donation)
Breast Cancer Pin & Light ($15 Donation)
Cancer Awareness Crystal Pin & Light ($15 Donation)
Hope Lapel Pin & Light ($15 Donation)

Item #2:

In honor of     In memory of :

Send gift card to: (name & address)

Please select item:
Light ($5 Donation)
Breast Cancer Pin & Light ($15 Donation)
Cancer Awareness Crystal Pin & Light ($15 Donation)
Hope Lapel Pin & Light ($15 Donation)

Item #3:

In honor of     In memory of :

Send gift card to: (name & address)

Please select item:
Light ($5 Donation)
Breast Cancer Pin & Light ($15 Donation)
Cancer Awareness Crystal Pin & Light ($15 Donation)
Hope Lapel Pin & Light ($15 Donation)

Item #4:

In honor of     In memory of :

Send gift card to: (name & address)

Please select item:
Light ($5 Donation)
Breast Cancer Pin & Light ($15 Donation)
Cancer Awareness Crystal Pin & Light ($15 Donation)
Hope Lapel Pin & Light ($15 Donation)

Item #5:

In honor of     In memory of :

Send gift card to: (name & address)

Please select item:
Light ($5 Donation)
Breast Cancer Pin & Light ($15 Donation)
Cancer Awareness Crystal Pin & Light ($15 Donation)
Hope Lapel Pin & Light ($15 Donation)