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On Monday, July 31 the Texarkana Twins will be sporting custom made jerseys thanks to Wadley Regional Medical Center. The jerseys will consist of the names of your loved ones as a celebration of life. To have your loved one on this custom jersey, that will also be available for purchase during the auction, complete the form below. Proceeds from the auction will be donated to charity.

Strike Out Cancer Jersey Nomination Form

Your Full Name *

Your Phone Number *

Your Email Address *

Full Name of the individual you would like to honor? *

What type of cancer did he/she battle? *

Please give a brief description of why you are choosing to honor this person? (note these may be shared with the general public the day of the game) *


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