application for assistance

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*Pompe Alliance has a limited amount of funds available to provide aid to Pompe patients and their families during this difficult time. Assistance will be provided on a first come first serve basis until the funds have been depleted. Because of limited funds, we are not able to fund every request and we want to assist those with the greatest unmet need. 

Please tell us in a few sentences why you need assistance. Please attach any supporting documentation (i.e. utility bill, quote for item needed, etc.). Pompe Alliance will provide assistance in the form gift card or when possible, a PayPal transfer. 

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