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Box of Kindness Request Form

I confirm the person I am requesting a Box of Kindness for lives in the UK and meets the request criteria below

• They are starting systemic cancer treatment such as chemotherapy, immunotherapy, targeted or hormonal therapy

• They live in the UK

• They are at the start of treatment or have just started their treatment.

I confirm the person I am requesting a Box of Kindness for lives in the UK and meets the request criteria below