Kamloops Supportive Cancer Care Centre

Email Address *

First Name

Last Name

Address

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Phone Number

Birth Date (optional)

Have you or family been impacted by cancer?

I would like to get quarterly updates by email.

Interested in volunteering on a committee or event

Interested in serving on the board of directors

Kamloops Cancer Supportive Care Centre Society Membership Application