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COMPLETE OUR APPLICATION FORM

Join our Supportive Tribe

WOMEN MEMBERS WITH CANCER

 

You can become a Member of Women's Cancer Support Inc if you have ever been diagnosed with any form of cancer.  

 

Your membership includes:

  • A log-in to our private online support groups which will include:

  • A general group

  • A group specifically to connect with other women who have been diagnosed with your particular cancer

  • A postcode group so that you can meet up with other members local to you and

  • A variety of resources.  

 

Your private log-in will also allow you to book into our various activities and events.  

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Please fill out the form below to request membership in our private support group for women affected by cancer.  

 

We collaborate with universities and research centres providing data for analysis - e.g.  average age for types of cancers, postcodes, types of cancers, professions, careers etc for analysis.  NO Personal ID is ever identifiable.  

 

When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.

Select an option
Which Postcode group do you live in?
Which cancer(s) have you been diagnosed with? Required
Which Breast Cancer categories do you fall into?
What Stage Cancer?
What Grade Cancer?
Which of the following treatment(s) have you had or will you be having? Required
Ae you willing to become a Volunteer with us? Volunteer roles are very varied.

Thanks for submitting your application to join Women's Cancer Support Group Inc.

 

Our team will review your application and add you to your relevant online support groups. You will then receive an email with your link to login and create your password etc.

 

Please do check your spam email box (just in case it is sent there instead). We'll be in touch soon and look forward to welcoming you to our very supportive tribe.

info@mysite.com

Womens Cancer Support Inc.

Gold Coast

The Haven

12 Nerang Street, NERANG,

QLD 4211

Phone 0422 355 711

email:   havenadmin@wcsgc.au

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Opening Hours:  9am to 3pm Monday to Friday

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ABN: 42475680376

Registered Charity with Australian Charities & Non for Profits Commission

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Women's Cancer Support Group Inc. is a registered charity with Deductible Gift Receipt (DGR) status - meaning that every donation over $2 can be claimed back on tax. 

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