Honorariums & Memorials

Name      ____________________________________________________________________________

 

Address   ____________________________________________________________________________

 

                  _____________________________________________________________________________

 

Phone     _____________________________________________________________________________

 

Email       _____________________________________________________________________________

 

Honorariums and Memorials will be included in the Event Program and in the presentation during both the Daytime Preview and the Evening Gala.

 

Showcase your loved one ins a special way. 

A picture of your love one can be featured in the video presentation throughout the event.  Either an individual or group photo is welcome.   Please e-mail properly identified,

high resolution photos to kandice.duke@yahoo.com

Call Kandice Duke at (956) 244-4914 if you have questions or need assitance converting

your hard copy photo into a digital file. 

 

RECOGNITIONS

 

____In Honor or ____ In Memory of ______________________________________________________

 

From _______________________________________________________________________________ 

 

I would like to include a photo for the video presentation       _____ Yes _____  No

 

​

____In Honor or ____ In Memory of ______________________________________________________

​

From _______________________________________________________________________________ 

 

I would like to include a photo for the video presentation       _____ Yes _____  No

 

Please include a $100 donation for each Honorarium and Memorial,

made payable to the American Cancer Society

Please mail your completed form and payment to:

Kay Conly  *  5331 Papaya Circle  *  Harlingen, Texas 78552

All submissions must be received by October 17, 2017