Lynn Sage Cancer Research Foundation
Light the Way for a Cure
Participation Acceptance Form


Please participate in National Breast Cancer Awareness Month by lighting your building pink throughout October 2008. During the year we plan to publish the names of the buildings that commit to lighting Pink this fall. By signing up early, you encourage buildings that have not participated in the past. Our goal is to make the entire Chicago skyline Pink for October 2008.

If you are able to support this citywide effort, please complete the following form and return by fax or email to Jennifer Warner-Blankenship at Northwestern Memorial Foundation.



To: Jennifer Warner-Blankenship
Phone: 312.926.4274     Fax: 312.926.0332     Email: jblanken@nmh.org

We are pleased to accept the invitation of the Lynn Sage Cancer Research Foundation to join other prominent Chicago venues in support of October 2008 as National Breast Cancer Awareness Month.

Building Name: ____________________________________________________

Building Address: ____________________________________________________

Contact Name: ____________________________________________________

   Phone: ____________________________________________________

   Fax: ____________________________________________________

   Email: ____________________________________________________

Nature of Illumination (ex. Top floor of building): __________________________________________

_______________________________________________________________________________

Dates of Expected Illumination: ____________________________

Building and/or Ownership name to appear on
signage and/or promotional materials:
__________________________________________

_______________________________________________________________________________

Are you interested in purchasing a breast cancer awareness flag?
Yes     No     Please Send more information