CALL US NOW 022-49701285
Donate Monthly!

Free Wigs

Free Wigs

Register for Free Wigs

Fields marked with an * are required

Please email the treatment papers of the patient undergoing chemotherapy along with her photograph at urvija@copewithcancer.org
After scrutiny, a free synthetic hair wig will be couriered at your address.

I understand that by filling up the form for a free wig donated by Madat Trust, I'm  giving consent for the use of my photograph by Madat Trust in any form or medium for the purpose of creating awareness about their activities and for their records. l'll email my photograph with and without the wig.

Thanks & regards
Dr Anand Parihar
(Managing Trustee)
Urvija Sanghvi
(CEO)
madatletterheadlogo