© 2024 Zebra Hearts Foundation
Website Design by North Country Website Design
906-367-5404

Apply for Assistance

apply for assistance
The more information you give us, the better we can assist you!

How can we help?

After you submit the form, we will contact you asking more information like if you have a diagnosis and other information. It will take a few days to process your request. If you don’t hear from us, you can text 906-367-5404.
Alternatively, you can print and fill out the Application for Assistance PDF form and it send to us by email or by postal mail.
© 2024 Zebra Hearts Foundation
Website Design by North Country Website Design

Apply for Assistance

The more information you give us, the better we can assist you!

How can we help?

After you submit the form, we will contact you asking more information like if you have a diagnosis and other information. It will take a few days to process your request. If you don’t hear from us, you can text 906-367-5404.
Alternatively, you can print and fill out the Application for Assistance PDF form and it send to us by email or by postal mail.