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CLF-BOS RSVP 2019

1. Please select meeting date: *This question is required.

2. RSVP

3. Please RSVP as *This question is required.

4. Contact Information *This question is required.

First Name

Last Name

Email Address

5. What best describes you?

Street Address

Apt/Suite/Office

City

State

Zip

Phone Number

5. Family and friends are welcome to attend. Please provide their names and relationship to contact information:

Guest Name (1)

What best describes relationship?

Guest Name (2)

What best describes relationship?

6. May we share your contact information with the group leader/s? *This question is required.

7. Do you give the CLF permission to use any pictures of you that may be taken with our group? Photos may be used for CLF's printed publications, website or Facebook page and individuals may or may not be identified. (Response Required) *This question is required.

8. Do you currently receive the mailings from the Cutaneous Lymphoma Foundation?

Want to stay informed on what's new or important to know about cutaneous lymphoma? Join the Cutaneous Lymphoma Foundation's mailing list!

The Cutaneous Lymphoma Foundation publishes the Forum newsletter three times a year both in print and in an electronic format (eForum). The Forum provides relevant and timely cutaneous lymphoma news, information and resources of interest to the cutaneous lymphoma community.

Additionally we offer a monthly eNews via email which offers time-sensitive news and opportunities related to cutaneous lymphoma.

If you are not currently on our mailing list and would like to join, please select what mailings you would like to receive:

Forum Newsletter - print version
eForum Newsletter - electronic version
eNews - monthly newsletter

9. Comments: