Nominations

Our mission is simple – Brighten the Night for families experiencing cancer by decorating their homes for the holiday season. If you or someone you know could use some holiday cheer, please complete the nomination form below for consideration. Once complete, our nomination committee will review your submission and contact you shortly with additional details.

Nominations for the 2017 holiday season need to be submitted no later than Saturday, November 18th!

 

Nomination Form
(All Fields Are Required)

Your Name

Nominee's Name

Nominee's Street Address

City

State

Zip Code

Your Telephone Number

Your Email

Describe Nominee's Association With Cancer
Cancer SurvivorCurrently Undergoing TreatmentLost a Family Member to Cancer

Nominee's Home
ApartmentSingle Family HomeOther

Share Nominee's Story

Agreement of Submission

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Comments are closed