Registration

Please enter information in the form below to process registration for event Chingona Sisterhood by Shay's Warriors Life After Cancer 2023.

First Name *

Last Name *

Phone

Email *

I am a Cancer Survivor

Yes

T-Shirt Size **No exchanges on shirt size *

XXL

XXXL

I don't need a t-shirt

I'd like to buy an additional t-shirt

Additional T-Shirt Size(s)

XXL

XXXL

I'd like to buy a pink ribbon yard sign - $20/each

Would You Like To Purchase A Memorial Ribbon for $10?

Memorial Ribbon - Loved Ones Name

Amount

Payment Method

Credit Card *

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

By registering for this event, I accept Terms and Conditions

Desert Cancer Foundation
42600 Cook Street
Suite 203
Palm Desert, CA 92211
Tax ID: 33-0648823

info@desertcancerfoundation.org
Telephone: (760)773-6554
Fax: (760)773-6532