Donation Information
Curing Kids` Cancer is pleased to introduce Pray-ers Curing Kids` Cancer.
This program allows you to buy a blanket for a childhood cancer patient and offer a prayer for them.
Your blanket and prayer will be delivered to one of our participating hospitals.
A variety of colors will be made available to the children so that they can pick their favorite.

Donation Information
Infant Blanket	Choose Item Infant Blanket $30.00 Qty 2 3 4 5 6 7 8 9 10
Fleece Blanket	Choose Item Fleece Blanket $40.00 Qty 2 3 4 5 6 7 8 9 10
Additional Donation
Sub-Total:
*Shipping & Handling:	Choose Shipping Handling Shiping to hospital $0.00 Standard shipping to home $6.99
Grand Total:
Your Prayer
Write your prayer here:
Billing Information
*E-Mail:
Important: Enter a valid e-mail address. Receipts will be sent to this address. Please provide the name and address on file with your credit card.
*First Name:		Name on Credit Card
*Last Name:
*Address Line 1:		Address on file w/ credit card
Address Line 2:
*City:
*State:	Choose a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
*Zip Code:
*Phone:
Shipping Information
Blankets can be shipped to one of our partner hospitals, or directly to you. Please choose one option.
Shipping Options	Choose Shipping Option Children`s Healthcare of Atlanta Levine Children`s Hospital, Charlotte Birmingham Children`s Hospital, Ala. Ship to me
Same As Billing Info
Shipping: FIrst Name
Shipping: Last Name
Shipping: Address Line 1
Shipping: Address Line 2
Shipping: City
Shipping: State	Choose a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Shipping: Zip Code
Credit/Debit Card Information
*Card Number:		No dashes or spaces please
Card Brand:	Choose a Card American Express Discover Master Card Visa
*Expiration Month:	Month January February March April May June July August September October November December	From your card
*Expiration Year:	Year 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020	From your card
*CVV2
Please click submit to process the transaction.
Online Payments