What better gift to give a loved one than the power to fight back against cancer? By signing up for ACS CAN membership on behalf of friends or family, you are further empowering a grassroots movement of people just like you — cancer patients, survivors, caregivers and their families and friends — who are dedicated to changing laws and policies to help people fight this terrible disease.

The American Cancer Society Cancer Action Network is the organization that will allow the voice of the cancer community to be heard. Together, we CAN make cancer history!

To give the gift of ACS CAN membership, simply print our membership form and fill out the contact information of the individual to whom you would like to give the membership. Check off a payment method and fill in your donation amount:

• If paying with a credit card, please write your card information as needed.
• If paying with check or cash, please include these with the form when mailing.

When completed, mail this form and any payment to:

ACS CAN
Attn: Jessica Reinahart
555 11th Street NW
Suite 300
Washington, DC 20004

PLEASE NOTE: Contributions or gifts to the American Cancer Society Cancer Action Network, Inc. are not tax deductible.