Kansas Coalition
for Lifesaving Cures
PO Box 394
Topeka KS 66601-0394

Toll-free: 800-821-2658
Email: info@kansascures.com

Volunteer

Sign up as a Coalition Volunteer. You decide how much time you can give and which activities you'd like to participate in. To sign up, just download the Volunteer Form and fax it to us toll-free at 888-821-2658 or fill in the form below to join online. We'll let you know when you can help with the volunteer activities you've selected.

Required fields are indicated by * below.

First Name*: 
Last Name*: 
Email*: 
Address 1*: 
Address 2:  
City*: 
State*:  Zip*: 
Phone*: 
 
Are you or a loved one affected by disease or injury that could be helped by stem cell research? yes   no
 
As a volunteer, I am willing to:
Recruit friends, family and colleagues to join the Coalition
Distribute Coalition materials
Send an email or letter to my state legislator
Write a letter to the editor of a local newspaper
Participate in planned events
Monitor local news
Call into a radio program to voice my support for stem cell research