(Include the name of the person you want to receive Fighting Pretty Love Letters. If you are nominating yourself, please include your name here again.)
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I am nominating this person because: *
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Recipient's Birthday: *
If unknown, please include "unknown."
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Recipient Address 1 *
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Recipient Address 2 *
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Recipient Zip Code *
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How did you find out about us? *
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I received a Strength & Beauty Kit at my cancer clinic/hospital