Request Assistance

Request Assistance Form

We support people with any form of cancer. We hold fundraisers and generate proceeds to help cancer patients with financial assistance when funds are available. Please complete the form and tell us how we can assist you. A committee will review your request and see what we may be able to offer you. We do need the verification from medical personnel please.
Download Request Form
Please DOWNLOAD, fill out, and email your completed form (PDF) to us at cgofhope@gmail.com
or mail to P.O. Box 686, Victoria, Tx. 77902 
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