Milledgeville Relay For Life - Survivor Registration

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Luminaries

Luminaries are candle lights that are "In Honor Of" or "In Memory Of" a loved one.

They will be sold for $5 and placed around the track on April 16-17, 2004
(Relay for Life Event). They are lit with a votive candle. The Luminaries will stay lit throughout the night, so that all involved can read the messages on the bags.

First Name:
Last Name:
Address:
City:
State:
Zip:
Phone Number:
Email:

** Insert the name(s) along with a message for each individual you would like to recognize.**

In Honor of:

In Memory of: