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Get an Awareness Toolkit

Thank you for spreading the word about prostate cancer and early detection. By educating more men about their risks for the disease, you are helping save lives. We're so thankful to have you represent ZERO in your community.


Please make requests at least five business days prior to your event. Note: we are only able to ship kits within the United States.

1. 1. Contact Information

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Name:

 

 

 

     

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City/State/ZIP:

 

    

 

 

 


  2. Tell us about your event:
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3.
Question - Not Required - Event Date




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(Maximum response 255 chars, approx. 5 rows of text)

9. 3. How did you learn about this event?
(Select one of the available choices or enter a different value.)



10.
Question - Not Required - 4. Would you like ZERO to promote this event on social media?


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(Maximum response 255 chars, approx. 5 rows of text)

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(Maximum response 255 chars, approx. 5 rows of text)

 

Thank you for filling out our request form! Your requested materials will arrive within a week before your event, unless you specify that you would like the materials to arrive sooner.

If you have any additional questions or concerns, you can contact our team at info@zerocancer.org.

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