Thank you for your interest in joining Komen Oregon & SW Washington for the 2020 American Cancer Society Cancer Action Network (ACS CAN) Cancer Action Day.  In addition to advocating for the importance of state funding of the Oregon Breast and Cervical Cancer Program (Screenwise), we'll also support the American Cancer Society's efforts in tobacco prevention.

2020 ACS CAN Oregon Day at the Capitol
Thursday, February 27, 2020
8:30am-4:00pm
Oregon State Capitol, Salem (room TBD)

The day will include training of the issues and meetings with your legislators.  A continental breakfast and lunch will be provided.

Please share your information, below, and we'll get you registered.

Thanks!
Cindy 

Cindy Fletcher, MBA
director of programs
Susan G. Komen Oregon and Southwest Washington

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* 1. Registration information.  Your address is used to determine your district for legislator meetings, so please use your home address.

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* 2. Please tell us your gender pronouns for your nametag.

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* 3. Please list any dietary restrictions.

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* 4. What is your relationship to breast cancer?

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* 5. Have you been a recipient of Oregon Breast and Cervical Cancer Program / Screenwise services?

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* 6. Would you be interested in being contacted about carpooling, if others from your area are also attending?

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* 7. ACS or Komen may have a limited number of hotel rooms available for participants traveling long distances, on a need-based, first-come basis. Would you like to request hotel accommodations?

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* 8. Is there anything else you'd like to share?

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