Pink Ribbon Riders

Pink Ribbon Riders

 (Colorado, Michigan, Minnesota, North Dakota, New York (no NYC or L.I. residents), Wisconsin, and Wyoming residents only)

Assistance Provided: $500 gift card for eligible breast cancer patients. Breast cancer patients may apply once a year, up to two years total.

Eligibility Requirements: US citizen breast cancer patients in active treatment who reside in CO, MI, MN, ND, NY (no NYC or L.I. residents), WI, WY.

Application Process:    2 part procedure:

1. Part 1 (on-line form)

2. Part 2 (downloaded form) of the application to be mailed to Pink Ribbon Riders  with copies of the following supporting documents:

a. Copy of Birth Certificate or Passport (Proof of US Citizenship)

b. Copy of Drivers License or State Identification Card

c. A copy of your current income tax return (page 1) or other proof of household income.

d. Copy of a medical bill related to your breast cancer treatment.

e.   A letterhead signed by treating doctor advising you are currently in treatment for breast cancer.  The letterhead must be an original             signature by the doctor, not a copy or fax copy.

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