Celebration and BBQ for Survivors & Caregivers

Springfield, OR

You are invited to attend a Celebration and BBQ for bladder cancer patients and family members. There will be catering, raffle prizes, and music. Come celebrate with other local survivors! See more event details below.

If you are interested in attending this event, or want updates as the event comes closer, please RSVP using the form below. There is no cost for this event.  Please RSVP by Monday, July 12th,  so that we know approximately how many people to expect.

Is this not the event you were looking for? Search for more events or email BCday@bcan.org for information about starting an event in your area.

		Celebration and BBQ catered by Mac’s Custom Catering
Location:		Oregon Urology Institute Radiation Center (note new location) 1457 G Street Springfield, OR 97477
Date:		7/17/2010
Time:		12:00 pm

RSVP by July 12th using the form below to receive updates about this event, and to let us know whether you plan to attend.

We appreciate your RSVP so that we know approximately how many people to expect and so we can keep you informed about any changes to the event.

1. Volunteer name(required)
2. Volunteer email(valid email required)
3. Team leader
4. Team leader email
5. Practice Name(required)
6. Contact First Name(required)
7. Last Name
8. Contact Title
9. Contact Email
10. Street Address(required)
11. Street Address 2
12. City(required)
13. State(required)
14. Zip(required)
15. Phone(required)
16. Fax
17. Website of practice
18. Number of brochures
19. Number of handbooks
20. Number of Urologists in Practice(required)
21. Number of office/clinic locations(required)
22. Have added BCAN link to website
23. First order for this practice at this address?
24. Re-order for this practice at this address?
25. Change of address for practice who previously received materials?
26. Add to mailing list?
27. Special Instructions
28. cc: me

 

cforms contact form by delicious:days

Thank you for your interest in this event! If you have any problems with this form, or any questions about your RSVP, please contact BCAN by emailing BCday@bcan.org or by calling (888) 901-BCAN.