PPG Place: Events

Tribute of Light Ceremony Volunteer Form

Contact Name

Street Address

City		State		Postal Code

Daytime Phone		Evening Phone

Email Address

Number of People in Your Party

Adults

Children

Volunteer Names
Please list the names of all volunteers below.

Have You Purchased a Candle from ACS? Yes No

If yes, would you like to carry this candle in the ceremony? Yes No

If yes, what is/are the name(s) of the individual(s) for whom you purchased a candle?

Please note: If you do not specify a name prior to November 12th,
we cannot guarantee that you will carry the candle that you purchased
in the ceremony. You may be given an alternate name to carry.