(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.