SUBMISSION FORM

CAP SUBMISSION FORM

A completed copy of this form should accompany every cap you submit to ChemoCaps4Kids. It will provide us with the information we need to have before we can distribute the cap you have made.

PLEASE PRINT

Who made this cap?

Name ___________________________________________

Address ___________________________________________

City ___________________________

State _______ ZIP ____________

Phone (______) ______ - _________

Email __________________________________________

Does the fiber contain any wool?             

Yes _____ No _____ Unknown _____    
Yarn (or fiber) content: If the fiber content is unknown, please write 'unknown' in the space below.

___________________________________________________

Send this form along with the cap to:

ChemoCaps4Kids

c/o Sharon Morais

5 Crows Nest Drive

Buzzards Bay, MA 02532

Please include a 15" piece of the yarn

used for a knit or crocheted cap. The small added piece of yarn will be used to affix the label to your cap.

Thanks very much for your contribution, and we look forward to hearing from you again! 
Call Sharon with any questions (508) 813-2897