Join the Mayors' Campaign Against Breast Cancer/Prostate Cancer
I want to join The Mayors’ Campaign Against Breast Cancer/Prostate Cancer to establish or expand coalitions, initiatives, and/or other activities for early detection and control of this disease.
Mayor and Mayoral Staff Sign-Up Sheet
Mayor:
Mayor City:
Mayor State:
Campaign to Join:
Staff Contact Information
First Name:
Last Name:
Title:
Agency:
Address 1:
Address 2:
City:
State:
ZIP:
Phone:
Fax Number:
E-Mail Address:
Web Site Address:
My city may be contacted by other cities for information about our programs:
Yes No
For information about the USCM Health Programs, please contact:
Crystal D. Swann
Assistant Executive Director
U.S. Conference of Mayors
1620 I St., NW, 4th Floor
Washington, DC 20006
(202) 861-6707 (w)
(202) 293-2352 (f)
cswann@usmayors.org
