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IF REQUESTING HEADWEAR, PLEASE FILL IN AS MUCH OF THE FORM AS YOU ARE COMFORTABLE SHARING. IF REQUESTING INFORMATION ON VOLUNTEERING PLEASE FILL IN ALL FIELDS THAT SHOW AN * (BECAUSE OF HIGH SHIPPING COSTS, WE ARE UNABLE TO SHIP OUT OF THE UNITED STATES. THANK YOU FOR UNDERSTANDING!)

NAME:*

STREET ADDRESS: *

CITY:*

STATE:*

ZIP CODE:*

EMAIL:*

PHONE #: (only used if we have questions)

STYLE OF HEADWEAR:...Turban, Courage Cap, Beanie or Crochet ...SEE BELOW FOR STYLE DESCRIPTIONS

TO PERSONALIZE YOUR REQUEST: Please share the type of cancer or other medical condition you are fighting.

FAVORITE COLORS AND HOBBIES:

FAVORITE SPORTS, ANIMALS OR ANY OTHER INTERESTS:

WE DO RECOMMEND YOU WASH THE ITEMS WE SEND PRIOR TO USE, IN THE CASE YOU MAY BE ALLERGIC TO ANYTHING ON THE FABRICS..

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Style Samples

Courage Cap

This headwear style is made of cotton fabrics with a tie in the back.

Turban

This headwear style is made with soft stretchy fabrics and has a decorative band that can be worn in the front or on the side. They can also be embellished with pins or other decorative additions.

Beanie

Crochet/Knit

This headwear style is made of soft stretchy fabrics. A simple slip on fit that may have a decorative panel.

Crochet/Knit

This headwear style is made with yarn in a knit or crochet pattern. Our volunteers make these in many different patterns.

Contact Us

IF REQUESTING HEADWEAR, PLEASE FILL IN AS MUCH OF THE FORM AS YOU ARE COMFORTABLE SHARING. IF REQUESTING INFORMATION ON VOLUNTEERING PLEASE FILL IN ALL FIELDS THAT SHOW AN * (BECAUSE OF HIGH SHIPPING COSTS, WE ARE UNABLE TO SHIP OUT OF THE UNITED STATES. THANK YOU FOR UNDERSTANDING!)

Style Samples

Courage Cap

Turban

Beanie

Crochet/Knit

Crochet/Knit

Crochet/Knit

Crochet/Knit

Crochet/Knit

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