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Royal Treatment Request

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Queens Against Cancer is here to support breast cancer patients seeking funding for essential, confidence-boosting items, including 3D nipple tattoos, wigs, cold-capping hair preservation, and mastectomy bras. If you’re in need of financial assistance for these items, please fill out the form below with your details. We’ll review your application and reach out to discuss how we can help.

 

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Request Form

Upload File

We will get back to you in 1-2 Business Days

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