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Request a Personalize Note be Sent
to a Cancer Patient

There is nothing more important than taking a moment to think of another. 1 John 3:18 reminds us that we must act.  If you would like Penelope to send a personal email note of encouragement to someone you know who is battling cancer, please complete the below form.  Bless you for spreading hope.

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Spread Hope and Inspiration Image

Be a Hope Harvestor

The information requested on this form will help the Author tailor direct communications with the recipient. 

Information submitted may be aggregated for analysis and marketing purposes.

By submitting this form, I agree that I can be added to the mailing list.

Spread the gift of hope

Gender of Cancer Patient
Male
Female
Other
Cancer Stage
1
2
3
4
Don't Know
How long has it been since the Cancer Patient was diagnosed?
Do you want to receive a copy of the email sent to the Cancer Patient?
Yes
No
Can Penelope mention to the Cancer Patient that you requested the note of encouragement?
Yes
No
Did you purchase the book entitled Battling Cancer: Hope and Inspiration for the Journey Ahead?
Yes
No
If Yes (purchased book), who did you purchase the book(s) for?
Myself
Another
Both Myself and Another

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