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ROAD TO RECOVERY GAS CARD PROGRAM

  • MM slash DD slash YYYY
  • This information is used collectively to help identify the population in which we serve for reporting to other non profit agencies and government.
  • Gas cards participation is not based upon need. Enduring Hearts uses the collective information for reporting to government agencies, and other non profits the population demographics in which we serve. Your information is private.
  • In order for us to process your request, please be sure to choose your child's correct social worker from the dropdown menu
  • Date of Heart Transplant
  • Date when put on heart transplant list
  • Gas Cards will be mailed by approximately 2-3 wks after submission deadline via a third party
  • This field is for validation purposes and should be left unchanged.

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Save Lives as an
Organ Donor

Enduring Hearts Inc.
is a Registered 501(c)(3)
Charity EIN 46-2665745

info@enduringhearts.org
(240) EHEART-1
3600 Dallas Highway, Suite 230-350
Marietta, GA 30064