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About Alopecia
Care Package Request
Do you or someone you know have alopecia, cancer, or another illness resulting in hair loss? If you are interested in receiving or sending a care package, fill out this form! Our care package program sends care packages full of bows, ballcaps, and other accessories that help embrace hair loss. Once you fill out this form, we will get back to you as soon as possible!
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Name
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About the Recipient
This information will help us to carefully craft and send a care package that the recipient is sure to love and enjoy!
Address
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Age
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