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Papanicolaou Corps for Cancer Research Membership Form

Only through research will the cure for cancer be found!

Yes, I want to help raise funds for cancer research and would like to join the Papanicolaou Corps to support the vital programs being conducted at the University of Miami Sylvester Comprehensive Cancer Research Center.

Please let me know of a Unit in my area that I may join, or *
I would like to start a new Pap Corps Unit in my community. * (Select One Please)
I live in *
Name of Community
in
 *
City
Name  *
Address Community  
City State
Zip
 
Telephone * Email *
Comments   
  V2.0

Annual dues:  $35
Life Membership: $300

To download and print the form
please click here,
then complete and mail to:

ATTN:  Debbie Steiner
Papanicolaou Corps for Cancer Research
1192 East Newport Center Drive, Suite 230
Deerfield Beach, FL 33442

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