Ballot 2016 – Compassion March 31, 2016 Donation Ballot* RequiredStep 1: Let us know who you are.Name *Your answerEmail *Your answerCustomer Receipt Number *Your answerStep 2: Select the local medical cause, fund, or community foundation you want to receive the donation.Please choose one. *Love of Linda Cancer FundBrendan Borek High Tides Memorial FundSurvivors of CancerVolunteers in MedicineCompassionate Care Hospice FoundationSubmitNever submit passwords through Google Forms.This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy Forms