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Ben’s Fight is interested in reaching out to families in Kennebunk, Kennebunkport, and Arundel areas who have been impacted by cancer. Money raised at the annual trail run in October will be distributed to families in need, not to exceed $2000. Please complete the information below and return by August 15th. All families will be contacted by September 15th. If the number of families in need exceeds our ability to provide funds, Ben’s Fight will randomly select recipients.

Contact Information

Full Name: ____________________________________________________

Address: _________________________________________________________________

Email: ____________________________________________________

Phone number(s): ____________________________________________________

Please check one, choice will not impact your family’s selection.

Signature:_________________________________________________

**You may be notified in the event that additional documentation is needed to complete your application**

Ben’s Fight, Inc. is a 501(c)(3) non-profit organization.

The only local non-profit giving directly to families fighting cancer in our community.

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