• CancerScore Today Application to Receive Gifts from CancerScore Today Gift Givers

  • CancerScore Today, Inc. c/o Stacy Billow 59 Pinewood Drive Fremont, OH 43420

  • Thank you for your interest in CancerScore Today and in receiving gifts and inspirational cards from many of our individuals in our database who want to provide support to our cancer fighters. Our goal is to provide hope and comfort to the many individuals battling cancer. We would love the opportunity to help during this difficult time.

  • Generally, we send out 1-2 "Gift Request" emails per week. We would like to include your request in one of next week's emails. Before we can do this we must have permission from the person battling cancer. (Parent or Legal Guardian in the case of an individual under the age of 18).

  • We like to include a short narrative/story about the person in need. Therefore, we request you provide any information you are comfortable having us share with our individual Gift Givers in the narrative/story section provided below. While we do not require specific information in your narrative/story, we find the more one is willing to share the more uplifting and specific gifts tailored to one’s interest and individual may receive. We suggest you provide a photo to share with the CancerScore Today members. Any information submitted in this application is subject to use in CancerScore Today publications.

  • Application Instructions: Submit completed application in one of the following ways:

  • a. Submit Electronically:

    To submit this application electronically, either the patient or patient's representative must complete the required fields in the form provided below. Responses can be typed directly into the blank fields. When submitting electronically an "Electronic Signature" is required. Please read the Electronic Signature section carefully before submitting the application. When application is completed, save it in a place it can be easily accessed and email it to us as an attachment to stacy@cancerscoretoday.com

  • b. Submit by Mail

    To submit this application by mail, either the patient or patient's representative must complete the required fields in the form provided below. Responses can be either typed into the blank fields, or handwritten. APPLICATIONS MUST BE SIGNED. Please mail completed and signed application to the address provided in the top left hand corner of this application.
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