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Hero Circle Commitment Form

25

Deadline for Submission:  �February 23rd, 2025

MSA 26-50

  • Hero Circle Contributor $5,000
    • 4 Guest Invitations to Grand Finale Celebration
    • Name Featured on Honored Hero Table Signage*
    • Name featured in Pre-Event Scroll
    • Meet & Greet with Mick at Grand Finale
  • Make a Donation: I would like to make

a fully tax-deductible donation to The

Leukemia & Lymphoma Society in the

amount of $____________.

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Donor Contact Information: (please print)

Contact Name & Title:____________________________________________________

Company Name: ________________________________________________________

Email: ______________________________ Phone:____________________________

Preferred Company URL:_________________________________________________�Address: _____________________________________________________________

City: _____________________________ State: __________ Zip:_________________

Donor Signature: _________________________________ Date: _________________

Candidate Team to Support: ______________________________

With your Hero Circle contribution, you will be supporting Honored Heroes like Mick McGinnis, and thousands of youth and adults in their fight against blood cancers.

Mick McGinnis

B-Cell Lymphoblastic Leukemia

Brunswick, OH

Mick's journey with B-Cell Lymphoblastic Leukemia began with symptoms of knee pain and fever. His family's decision to seek medical attention on January 14th, 2022, marked the beginning of a challenging path that led him to the Cleveland Clinic main campus. Despite the tough road ahead, Mick has shown incredible strength and resilience throughout his battle against leukemia.

Thank YOU for being a hero to blood cancer patients.

“LLS calls me an honored hero, but really, you are my heroes”

- Brooklyn, 2021 National Honored Hero

*Specific benefits/activations subject to modification to ensure safety of participants, including patients & survivors.

�Grand Finale Attendance

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☐ I WILL use our invitations to the Grand Finale.

☐ I WILL NOT use our invitations to the Grand Finale