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The undertaking of creating a truly comprehensive cancer control program lies in the hands of the citizens of South Dakota. If you are interested in becoming a member of this coalition please complete this form and return it to the SD CCCP address listed on this page.
Name: _____________________________________________________________
Organization: ________________________________________________________
Address: ____________________________________________________________
City/State/Zip: _______________________________________________________
Phone: _____________________________________________________________
Fax: _______________________________________________________________
Email: _____________________________________________________________
Please indicate which area is of most interest to you.
_____ Prevention Workgroup- Skin Cancer Focus
_____ Breast & Cervical Cancer Workgroup (also known as Women's Cancer Network)
_____ Colorectal Workgroup
_____ Treatment Workgroup
_____ Survivors Workgroup
_____ End of Life / Palliative Care Workgroup