Box of Sunshine Order Form
Super awesome that you are spreading sunshine to someone who could use a little light! Once your form is complete please allow 5-7 business days for your Box of Sunshine to be assembled and shipped.

Help us to continue spreading sunshine and consider donating a minimum of $25 to cover the costs of materials and shipping. Donations can be made through PayPal after you complete this form.

Thank you for helping us spread sunshine, one box at a time!

Email address *
Your First Name *
Your answer
Your Last Name *
Your answer
Recipient's Name *
Your answer
Recipient's Street Address *
Please include house number, any apartment/room numbers and street name. (Ex: 123 Main Street #100)
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Type of cancer/Type of treatment
Your answer
Personal message to the recipient:
Your answer
Special information about the recipients Box of Sunshine:
Your answer
Donation! *
Donations are optional and can be made by clicking our PayPal in the next/confirmation screen. Please consider donating a minimum of $25 to cover the costs of materials and shipping costs for one box of Sunshine.
Required
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