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Wig Out Program

Hello,

 

I am so sorry that you or your loved one has been diagnosed with breast cancer. Having had breast cancer myself, I know how frightening an experience this is. You are not alone, though, there are so many organizations and individuals dedicated to helping you get through this difficult period.

The Live and Give Foundation, Inc. aka ‘Don’t be a Chump! Check for a Lump!’ is one such organization. We have formed a ‘Wig Out’ Program that offers free wigs to breast cancer patients in Arizona undergoing chemotherapy. Through the Wig Out Program, you can pick out one wig of your choice, up to $250.00 retail price. We work with reputable local wig shops. The wig shop will bill the Live and Give Foundation, Inc. directly – no money out of your pocket. For women who do have insurance coverage for wigs, Wig Out will supplement the insurance allowing you to select a wig that suits you without worrying about the price or a co-pay. If you do not have insurance coverage we will cover the full price up to $250.00

To apply to the Wig Out program please fill out the application below.

Please be sure to include your prescription or pathology report and send your application to:

 

By email:

hollyrose@checkforalump.com

By mail:

Don’t be a Chump! Check for a Lump!

340 W. Gleneagles Drive

Phoenix, Az. 85023

We will notify you after you are approved by email or phone if no email is available. You will then be able to go to the wig shop you have chosen and pick out your wig up to $250.00. You are responsible for any amount above our limit. If you have chosen a wig shop that requires an appointment please be sure to call and make an appointment before going.

We would greatly appreciate you sharing any pictures of yourself in your new wig and any stories you are comfortable sharing. We would like to include pictures/stories of our clients on our website and facebook page to help promote our Wig Out program and encourage donations to sustain it. Please email any pictures/stories to: hollyrose@checkforalump.com

We wish you the very best in your treatment!

Live and Give,

From the team at Don’t be a Chump! Check for a Lump!

www.checkforalump.com

602-354-2930

Don’t be a Chump! Check for a Lump!

Wig Out

Application

Please be sure to completely fill out your application and include

the first page of your pathology report.

Name____________________________________________________

Address__________________________________________________

City_________________________________,  Az.  Zip_____________

Email___________________________________________________

Phone___________________________________________________

Age Diagnosed_____________________________________________

How did you discover you had breast cancer?

_____Self exam_____Clinical Exam_____Mammogram_____Other(please specify)

____________________________________________________

_____________________________________________________

 

____ I have included the first page of my pathology report that states the diagnosis of breast cancer. Sorry we can only provide for breast cancer patients.

Please choose the one Wig Shop you would like to go to.

Our Recommended Shops:

____Arizona Wig Boutique

7074 E. Fifth Avenue

Scottsdale, Az. 85251

www.arizonawigco.com

480-429-3778

____Classy Sisters Wigs

15620 N 35th Avenue Suite #4

Phoenix, AZ 85053

www.classysisterswigs.com

602-993-8090

Additional Approved Wig Shops

_____National Hair Centers (Appointment required)

5828 North Seventh Street

Phoenix, Az. 85014

www.nationalhair.com

602-230-0000

How did you hear about the Don’t be a Chump! Check for a Lump! Wig Out program?___________________________

Please be sure to completely fill out your application and include your prescription or pathology report.

Send your application to:

By email:

hollyrose@checkforalump.com

By mail:

Don’t be a Chump! Check for a Lump!

340 W. Gleneagles Drive

Phoenix, Az. 85023

We will notify you after you are approved by email or phone if no email is available. You will then be able to go to the wig shop you have chosen and pick out your wig up to $250.00.  If you have chosen a wig shop that requires an appointment please be sure to call and make an appointment before going.

We would greatly appreciate you sharing any pictures of yourself in your new wig and any stories you are comfortable sharing. We would like to include pictures/stories of our clients on our website and facebook page to help promote our Wig Out program and encourage donations to sustain it. Please email any pictures/stories to: hollyrose@checkforalump.com

We wish you the very best in your treatment!

Live and Give,

From the team at Don’t be a Chump! Check for a Lump!

www.checkforalump.com

602-354-2930

 

 

 

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