Submission Form

Head Huggers: Chemo Cap, Wrap or Hat Submission Form

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A completed copy of this form should accompany every Cap, Wrap or Hat you submit to Head Huggers. 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, Wrap or Hat?

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.
___________________________________________________
If you are submitting a wrap, please include instructions on how to tie it
________________________________________________________
________________________________________________________
________________________________________________________


Send this form along with the cap to:
Head Huggers of Salt Lake County
13937 Kessler Peak Circle
Riverton, Utah 84096

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!