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Home Page About Cancer Federation Contact Cancer Federation
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Membership

Interested in The Cancer Federation?

Please print and fill out the form below and mail to the National Headquarters.

Please send me more information on _______________________ (kind of cancer)

I would like to become a member of The Cancer Federation. Enclosed is my tax-deductible donation in the amount of $20. (Includes magazine subscription and free materials.)

Life Membership - $150

Name _____________________________________________________

Address ___________________________________________________

City ______________________________________________________

State __________________

Zip ____________________

Phone (day) __________________ Phone (evening) ____________________
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