Requesting a bear for yourself:


Fields marked with * are required
You are requesting a Brooks Bereavement Bear be mailed to you. We are acting on the assumption that you have not received a Brooks Bereavement bear in connection with this loss from a hospital or health care setting.

_____________________________

Your Details

Address

Country

Additional Information

If you are donating a bear to someone else, please enter your name and message here.

Contact preferences

Can we email you?