Pedal Farr $1,000 Donation Nomination
Please note that the person being nominated must reside in South Dakota, Minnesota, Iowa, or North Dakota.
Name of the person being nominated?
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Phone number of the person being nominated?
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Town and state they live in?
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Please describe their family:
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Estimated date of diagnosis?
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Type of cancer?
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Cancer journey story: please explain how they got diagnosed, symptoms, prognosis, and how long they have been battling:
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Have they had any go fund me pages of fundraisers?
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Is there anything they are struggling with right now?
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Name of the person doing the nominating?
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Phone number of the person doing the nominating?
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