DEDICATION SIGN REQUEST

Dedication signs are a way to honor and remember those for whom we run, walk, climb, fundraise, wave our auction paddles, raise our sails and even squish through mud. The signs will be placed at your event and will be visible to all participants. Click here to see an example of what it will look like.

Submission deadlines vary by event, but are usually three weeks before the event date. Keep in mind that earlier is always better.

Deadlines:

Light The Night: Wednesday, September 27 2018

Winter Pineapple Classic: Wednesday, October 11 2018

Firefighter Stairclimb: Thursday, February 28 2019

Big Climb: Friday, March 1 2019

For signs at all events: As of July 1 2018, you will need to re-submit requests for dedication signs each year. For varying reasons, we are unable to reuse the signs.

If you would like an electronic copy of the sign for your own use, please let us know by emailing wachapter@lls.org and we will get that to you as soon as we can. Unfortunately, we do not have the capacity to deliver these signs after the event. Due to the very high volume of signs that are requested for multiple campaigns, we do not send invidual emails with proofs. Thank you for understanding.

*Please note: After thoughtful consideration, and to avoid confusion about our mission, we are currently only creating signs honoring humans suffering from blood cancers. The Leukemia & Lymphoma Society’s mission is specific to finding cures for blood cancers in human patients, while improving the quality of life for them and their families.

Details to be printed on dedication sign:

Please triple-check the information below is spelled correctly and is exactly how you want it printed on the sign. We will be sending to our printer exactly as it is entered in the section below.

*

In honor of

In memory of

Honoree's Full Name *

Honoree's First Name *

Honoree's Last Name *

Type of blood cancer *

Please upload a high-quality photo of the person being honored.
An ideal size is at least 300KB, but can vary (bigger is better). *

Do you have permission from the honoree or their family to post their name and picture at The Leukemia & Lymphoma Society events? Please electronically sign (type your name) in the box below: *

Yes Yes

Have you requested a dedication sign for this person before?

Yes

No

Unsure

Sign Requested by:

Your First Name *

Your Last Name *

Your relationship to honoree

Your Email Address (Will only be used if we have questions or need further information regarding the sign) *

Your Phone Number (Will only be used if we have questions or need further information regarding the sign)

Please choose the event(s) where sign will be displayed. *

Big Climb Seattle	Firefighter Stairclimb
Winter Pineapple Classic 5K (outdoor sign)	Light The Night (outdoor sign) Light The Night (outdoor sign)

Additional notes:

If you interested in hearing from our patient services team about some of our programs (i.e., financial aid, support services, receiving educational materials, how to become or nominate an Honored Hero, etc.) please contact our Patient Access Manager at Erin.Paschall@LLS.org (Please only contact for Patient Services, and not questions regarding dedication signs or campaign events).

For questions about dedication signs or this survey, please contact wachapter@lls.org