Request a Bag

Thank you for taking the time to request a bag from My Hope Bag. Whether requesting a bag for yourself or another breast cancer warrior, we know it’s because breast cancer is now a part of your life. Thank you for trusting us to be a small part of your journey!

Once you request a bag, we will connect one of our Hope Sisters with you, and they will coordinate the delivery of your bag. For this reason, the person receiving the bag MUST BE AN ARIZONA RESIDENT.

Any questions? Please contact: Info@myhopebag.org

Name & Address of Bag Recipient (if different than above)

I am requesting a bag for*:

Breast Cancer*...

The specific type of breast cancer I have/had*...

Since being diagnosed, I struggle most with*...

Age when I was diagnosed*

My age now*

How I heard about My Hope Bag:*.

Please list specific referral in the "other" field.

Any additional information I'd like to provide or any questions I'd like to ask:

The person receiving the bag must be an Arizona resident. When you click on "Request a Bag", you will receive an email requesting you to "subscribe". Please click on that so the request will get to My Hope Bag. That is all you are subscribing to.