Partner • Prevent • Advocate • Survive
JOIN NOW
Toggle navigation
State Cancer Plan
How to Use This Plan
Cancer Screening
Physical Activity and Nutrition
Skin Cancer
Survivorship and Quality of Life
Collaboration Priorities
Members
Cancer Plan Implementation
Executive Committee Bios
Become a Member
Conference
Contact Us
Join Now
Home
Become a Member
Join Now
Join UCAN Now
Thank you for your interest in joining UCAN. Please submit the following information and a member of the UCAN Executive team will be contacting you.
First Name
*
Last Name
*
Organization
*
Job Title
Email
*
Phone
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Are you a cancer survivor?
Yes
No
Terms of Membership
*
I accept the membership requirements as outlined in the UCAN bylaws
By accepting this, you state that you have read the UCAN bylaws and agree to meet all membership requirements.