CureSearch for Children's Cancer

1.

Please enter your contact and shipping address (Note we are ONLY able to ship within the US and Canada. We apologize for the inconvenience but are unable to ship Barbie to PO Boxes, military bases or outside of the US and Canada)

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Name:

First Required	Last Required

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Email: Required

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Street 1: Required

Street 2:

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City/State/ZIP:

City Required	State Required	ZIP Required

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Country: Required

Phone Number:

Yes, I would like to receive occasional updates and information from CureSearch for Children's Cancer. You may opt-out at any time.

*2.

Question - Required - Your Connection to Children's Cancer

Brave Barbie is available in darker and lighter skin tones. Please select the number of dolls and skin tones desired. If you are requesting Brave Barbies on behalf of a hospital or patient services organization and would like to order a larger quantity, please contact donorservices@curesearch.org.

3.

Question - Not Required - Number of dolls you're requesting (dark skin tone)

4.

Question - Not Required - Number of dolls you're requesting (light skin tone)

*5.

Question - Required - How did you learn about the Brave Barbie?

6.

Question - Not Required - If other, please explain.

(Maximum response 255 chars, approx. 5 rows of text)

*7.

Question - Required - *Disclaimer: Brave Barbie must be distributed to children who have been affected by cancer. This Barbie cannot be resold or used as a fundraising incentive, including placement in an auction at a fundraising event. Please confirm you understand and agree to these terms and conditions.

*8.

Question - Required - Note we are ONLY able to ship within the US and Canada. Please select YES to confirm your mailing address is within the US/Canada and is not a PO Box or military address.

Brave Barbie requests are limited to one request per person. If our records indicate that you have previously received a Brave Barbie, we will be unable to fulfill any additional requests. Please note, Brave Barbies are to be distributed directly to children affected by cancer; the dolls cannot be re-sold or used for other purposes.

Request a Brave Barbie