Chemo Care Kit Order Form

A Chemo Care Kit is designed for cancer warriors undergoing chemotherapy. Each kit contains a port pillow, comfy socks, lip balm, and a variety of goodies that these warriors deserve.

If you would like to request a Chemo Care Kit, please fill out the form below. There is no charge for the kits as they are covered by donations; HOWEVER, there is a charge for shipping the kit. The USPS shipping cost is $8.50.

These kits are for recipients based in the United States only at this time.

We will not sell your information. The information collected here will be utilized to ship the package. Your information is requested in case the address doesn’t register in our shipping systems.