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Joy Fund Nomination Form

Joy Fund Nomination Form

Before filling out the form below, please review the information on our Joy Fund Page.

Joy Fund Information

Who Are You Nominating?*

Yourself

Someone Else

Is The Nominee Under 18?*

Yes

No

About the Nominee

First Name*

Last Name*

Date of Birth*

Month

Day

Year

City of Residence*

County of Residence*

Phone*

Email

Cancer Journey

The Nominee is Currently:*

In active treatment

Living with cancer

Finished with active treatment

End-of-life care

Other

Briefly share the Nominee's cancer journey:*

Joyful Gift

What brings the Nominee joy?*

What kind of Joy Fund gift would be meaningful? (optional)

Why would this Joy Fund gift be meaningful right now?*

Are there any time considerations?

Is there anything else we should know?

How did you hear about The Joy Fund?*

CONTACT US

Pacific Professional Building

610 N Mission Street #202

Wenatchee, WA 98801

509.888.9933

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Cancer Support Community Central Washington is a program of Wellness Place, a 501(c)(3) nonprofit organization: EIN: 91-1891688

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