Sign in if you already have an account.
         
Susan G. Komen
   
donate.gif
GET INVOLVED
Volunteer
Komen Activities
Advocacy
Fundraising for Komen
Social Media
National Spotlight

Financial Resources — Did you know that there are many financial resources that can help people living with breast cancer? Find out more

Rally for the Cure — Golf, tennis, dinner events and so much more...

Go Passionately Pink to help save lives! — Just wear pink, have fun and raise money to fight breast cancer. Be inspired by the multitude of ideas right here, or think of your own. There are so many creative ways to have fun and fight breast cancer.

2012 Paint it Pink - Registration Form

1. Contact Information:

*

Name:

 

 

   

*

*

 


*2.  


*3.  


*4.

(Maximum response 255 chars, approx. 5 rows of text)

*5.

(Maximum response 255 chars, approx. 5 rows of text)

6.
Question - Not Required - Please promote my involvement in the Paint it Pink campaign thru the following:

7.  


8.  


*9.  


 

What's my next step?

Our staff will review your form and contact you to support your promotion or event. You can download the Paint it Pink Toolkit or create your own Fundraising Page to learn more.

Please send your Paint it Pink contribution with a Donation Reply form to the Puget Sound Affiliate of Susan G. Komen for the Cure on or before November 30, 2012.

Susan G. KomenŽ Puget Sound
Attn: Paint Puget Sound Pink
112 Fifth Avenue N
Seattle, WA 98109

   Please leave this field empty