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Nominate a friend or loved one for a Face The Sun Memory

 

If you are a cancer patient undergoing active treatment, or a family member of someone who is experiencing active treatment, and would like to apply for a Face the Sun "Memory", please tell us a little bit about the patient. Simply fill out the form below, and click the "submit" button after completing the form. (Your email client window may pop up - if so, then just send the form like a regular email.) All information submitted to the administrators of the Face The Sun Fund will be held in the strictest confidence. Please be sure to include your email address on the form, so that Face The Sun can confirm to you that we received your application. If you experience difficulty in submitting the form electronically, you can also print out the page after completing the form and mail to: Face The Sun Fund, 8 Meadow Hill Drive, Bernville, PA 19506.

Various Face The Sun "Memories" can include:
  • A family dinner
  • A trip to a local amusement park
  • A sporting event excursion

    Have an idea for your own Face The Sun memory? Let us know!



Patient first name       Last name

Gender       Age

Phone number    e-mail address

Type of cancer      Date of diagnosis

Current cancer center(s) at which patient is receiving treatment 
Name of oncologist 
Phone number of oncologist or cancer treatment center 
 
Current type of cancer treatment (Chemo, radiation, alternative, etc.)

Comments? (More info on patients current condition, idea(s) for a Face The Sun Memory, etc. 

 



 

 

 
 
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