Phil's Friends · Care Package Request

Recipient Information

In order to ensure that we can continue to reach our friends with cancer, we only send one (1) care package, per recipient. If the recipient had been sent a care package previously, you will be notified as such.

Recipient Name

*

First Name

Last Name

Recipient Email (if known, leave blank if unknown)

Verify Email

Please note:

We ship nation-wide; we do not ship outside the US. We cannot deliver to those in hospitals and treatment centers. For more information or questions, please email info@philsfriends.org

Recipient Home Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Gender

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Male

Female

Type of Care Package

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Adult

Child

Age

*

(Please enter approximate age of recipient to tailor care package contents)

Additional Information (helpful for us to know):

Consider Giving or Paying it Forward

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$

Phil's Friends is 100% funded by donations. We would appreciate your consideration as you support your favorite charities. $75 supports one individual with a care package, a Card of Hope for 12 consecutive months for an entire year, and virtual support through our Hope on Call™ program. For questions, concerns, or if you would like to pick up your care package from one of our Hope Centers, please call 224.653.8315

Care Package Sender Information

Sender Name

*

First Name

Last Name

Sender Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Sender Phone

*

Sender Email

*

Please provide a valid email address to your care package request confirmation.

Verify Email

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How did you hear about us?