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1400 East Church St
                           Santa Maria, CA 93454
                           805.739.3595
                           supportmarianmedical.org
                           Return Service Requested

            DAY OF HOPE 2016

                            t E am r E g I stra t I on form
            Annual event to benefit local cancer patients and families
                                       THE THIRD ANNUAL                     wednesday, aPril 13, 2016






            Marian Regional Medical Center, in partnership with the
             Benefiting Marian Cancer Care at Mission Hope Cancer Center
            Santa Maria Times, is proud to present the third annual Day
             Buy-a-Bundle Presale Form
            of Hope community event on Wednesday, April 13, 2016.
                                                                          IN ONE DAY, DOLLAR BY
               ContaCt InformatIon
            A single dollar doesn’t buy much these days, but with the     DOLLAR, WE CAN FIGHT
            purchase of a $1 Special Edition Day of Hope Santa Maria      CANCER TOGETHER!
             Name: __________________________________________________________________________________________________________________
            Times newspaper, you have the power to make a positive        Join hundreds of community members
             Address: ______________________________________________________ City: _______________________ State: ________Zip: ____________
            difference in the lives of Central Coast cancer patients and   as we line the streets of Santa Maria
                                                                          to sell $1.00 special edition Day of
             Phone: (______)  _______________________
            families at Mission Hope Cancer Center.  Fax: (______)  ______________________ E-mail:________________________________________
                                                                          Hope Santa Maria Times newspapers.
               tEam InformatIon
            Join hundreds of community volunteers on April 13 as teams    Get involved by organizing a team,
            man street intersections of Santa Maria and Lompoc with       purchasing newspapers, or making
             Organization/Company:  ___________________________________________________________________________________________________
            a mission to ask drivers passing by to roll down their car    a donation to support the cause. For
                                                                          more information, contact the Marian
             Number of Team Members: ________________________________________________________________________________________________
            windows and purchase a $1 Special Edition Day of Hope         Foundation at 805.739.3595.
            newspaper. One hundred percent of all Day of Hope proceeds   At Mission Hope Cancer Center, we understand that cancer
             My team will need the following quantity of newspapers (check one):
            stay in the community, benefiting cancer programs and   not only affects those with the disease; it affects an entire
             n 50 papers       n 100 papers       n Other: ______________________
                                                                           WEDNESDAY
            support services for patients and families in need.  community. As one of only three accredited Comprehensive
             There is a maximum of 100 newspapers per team.    Community Cancer Center programs between Los Angeles and
                                                                            APRIL 13, 2016
            ALL DAY OF HOPE PROCEEDS                            San Francisco, Mission Hope Cancer Center features advanced,
             *If you are a returning team and would like to reserve more than 100 newspapers, please contact the Marian Foundation.
            DIRECTLY SUPPORT:                                   lifesaving technology and physicians from the nation’s most
                  WEDNESDAY
                                                                           7:00 AM–12:00 PM
                  APRIL 13
               dIstrIbutIon sItEs            WEDNESDAY         esteemed medical schools and training programs. Mission Hope
                                             APRIL 13
              •   PATIENT OUTREACH NEEDS—Medical or material needs   Cancer Center is also a recent recipient of the Women’s Choice
                      2016
             All santa maria teams are to pick up newspapers and aprons from the Santa Maria Distribution Site:
                                                               Award for America’s Best Hospitals for Cancer Care.
                  for patients and families struggling to make ends meet
                                                 2016
                    mission Hope Cancer Center, 1325 E Church Street, Santa Maria  A benefit for Marian Cancer Care patients
             All lompoc teams are to pick up newspapers and aprons from the Lompoc Distribution Site:
                  EQUIPMENT & TECHNOLOGY— Acquisition of the most
                                                                             at Mission Hope Cancer Center
              •
                    CoastHills Credit union, 1320 North “H” Street, Lompoc  A MEETING OF EXPERT MINDS
                  advanced medical treatments and technologies to better
             n Santa Maria Distribution Site
                  serve the community
             n Lompoc Distribution Site                        Being diagnosed with cancer is a life-altering event, and
              •   PROGRAMS & SERVICES— Nurse navigation (provided   Mission Hope Cancer Center’s Tumor Boards are just one of
                  by oncology certified nurses), education, support groups,
               IntErsECtIons & LoCatIons                       countless important ways of how the center’s oncology team
                  etc., all offered at no charge to patients and families
                                                                is committed to going the extra mile for patients.
             Please provide your preferred street intersection or location to sell newspapers: ___________________________________________________
             The Marian Foundation will follow up with you to confirm your intersection selection. Please note that is you would like to sell
            THE MISSION HOPE ADVANTAGE                         At Mission Hope Cancer Center’s Tumor Board meetings
             newspapers at a business location, you must obtain approval from the business to be present on the premises.
                                                               a vast array of expert medical professionals present and
             n I have read the safety and sales Instructions for Day of Hope (on back of this form) and agree to adhere to them. ________ (initial)
            Mission Hope Cancer Center is the only integrated oncology   discuss every newly diagnosed patient case. With two weekly
            facility on the Central Coast, uniting Santa Maria oncology   Tumor Boards, one is dedicated to the review of all breast
             Please return this completed form to: Marian Regional Medical Center Foundation, 1400 E. Church St., Santa Maria, CA 93454
            treatment, imaging, research, education, and support services at   cancer cases and the other is dedicated to the review of all
             Phone 805.739.3595 • Fax 805.739.3599 • E-mail: MarianFoundationFeedback@DignityHealth.org
            one convenient location for patients and families.   other cancer cases. At these specialized meetings medical
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