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.
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.
