Apply for Funding
Are you in the middle of treatment and need financial assistance?
We know as a survivor, the fight against cancer gets exhausting and everyone can use additional help. Please let us know, if you are in need of some "love"...
Wishing you the best in your health and recovery!
Please open the following PDF file and fill out to the best of your ability.
You may scan and email this form to:
or Mail to:
Gotta Kiss Cancer Goodbye
Need A Kiss Financial Assistance Program
PO Box 752
Orchard Park, NY 14127