Fighting Prostate Cancer Together

The Florida Prostate Cancer Network

Needs Your Time, Talents And Energy As A
Volunteer For Tampa Bay’s

Fourth Annual African-American Men’s Health Forum

Saturday, March 8, 2003

Volunteer Form

Name	Required
Company, Church, or Other Organization
Address	Required
City	Required
State	Required
Zip Code	Enter as 00000 or 00000-0000 Required
E-mail	Required
Contact Telephone	Enter as 000-000-0000 Required
FAX	Enter as 000-000-0000
I am a	For classification only. This information will be kept private. Survivor Supporter


I CAN VOLUNTEER:
General office duties, Bulk mailings, filing, phone calls etc...	Before and the day of the Event
Distribution of Information - Posters, registration forms, and promotional material in the community	Before the Event
Assist in setting up and miscellaneous duties during the event.	The day of the Event: Mar 8, 2003
I am involved in the medical field in the following way:

Florida Prostate Cancer Network is a Florida non-profit organization Federal Tax ID 59-3545266
Send us an Email:	[email protected]

Disclaimer

"The information that FPCN provides is general and informative.
FPCN's information should not take the place of the advice from your doctor."

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Site last updated: 03 Feb 2004 07:42 PM