Request Support

For individuals currently facing cancer who need help

Life with cancer can be overwhelming. If you're facing financial stress, transportation issues, or need a helping hand, The Horse of Many Colors Cancer Foundation is here for you.

Please fill out the form below to tell us about your situation. All information is confidential and used only to determine how we can best support you.

First name

Last name

Email

Phone Number (optional but recommended)

Mailing Address

Multi-line address

Country/Region

Address

City

Zip / Postal code

What type of cancer have you been diagnosed with?

Stage or status of your treatment (if you'd like to share) (optional)

Tell us more about your current situation and how we can help

Upload Supporting Documents (optional)

Do we have permission to share your story with our donors and social media audience?

Yes, publicly with my name

Yes, publicly but anonymously

No thank you, please do not share my story

Why Share Your Story?

Your experiences, struggles, and victories are valuable. By sharing your story, you not only help others who are facing similar challenges, but you also join a community of strength and resilience.

How did you hear about The Horse of Many Colors Cancer Foundation?

Know someone else who could use our help?

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