Community Member -

First Name

Last Name

E-mail Address

Please select which of the following best represents you:

I have or had cancerI am a family or friend of someone who has or had cancer

StudentI do not have cancer but want to be involved

How would you like to be involved in the Cancer Alliance of Marion County?

I would like to attend seminars and/or support groupsI would like to volunteer to drive people with cancer to medical appointments

I am willing to be a speaker regarding my personal experiences facing cancerI wish to participate in workgroups, surveys or other research to help improve cancer care in this community

I would like to help fundraise to support people with cancer locally

Community Member

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