Referral For Funds


When one family member has cancer, everyone in the household becomes affected by that struggle.  Besides medical expenses, cancer is costly in many ways.  Families need transportation, meals out, car maintenance and a host of other expenses. A special trip, an airline ticket for a loved one from afar, or other ‘extra’ activities that could be so important at this time become out of reach.  

The Gretchen Weller Foundation hopes to be able to bridge some of these gaps. Thank you for helping us support these families and providing help where it is needed!

Submit the form below or scroll down to the bottom of the page to download a printable PDF file that can be mailed to our PO Box. 

Your Name *
Your Name
Your Phone *
Your Phone
Your Address *
Your Address
Person who can benefit from support from The Gretchen Weller Foundation
Their Name *
Their Name
Their Phone Number *
Their Phone Number
Their Address *
Their Address
Gas card, fun outing, family photos, spa treatment? Other ideas welcome too!