Nominate ← BackThank you for your response. ✨ HELP US FIND FAMILIES TO SUPPORT At the end of each year, we choose local families to receive a check from our proceeds. If you know of someone who could benefit from our help, please fill out this nomination form and we would be happy to include them in our selection process. If you would like to donate, please contact us. Name of Nominator(required) Contact Information (phone/email)(required) Relationship to Recipient(required) Name of Recipient(required) Recipient Address(required) Recipient Contact Information (phone/email)(required) Cancer Diagnosis & Stage (if known)(required) Household/Family Information(required) Tell us about the recipient and why they should be considered for a gift. List any hardships or financial reasonings.(required) SendSubmitting form Δ
RLH Foundation 