Living After Cancer Treatment Brochure Series

Free Educational Materials -- Order Form
The LAF has developed a series of culturally relevant, user friendly brochures on cancer survivorship. You can receive free copies of these materials to distribute to cancer survivors and their loved ones by completing the order form below.

* required information Company Name: First Name:* Last Name:* Address Line 1:* Address Line 2: City:* State:* -- please make a selection --AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces AmericasArmed Forces EuropeArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaF.S. MicronesiaFloridaGeorgiaGuam HawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingNot in USA ZIP/Postal Code:* Country:* -- please make a selection --AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, The Democratic RepublicCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, The Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldova, Republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaViet NamVirgin Islands, BritishVirgin Islands, USWallis and FutunaWestern SaharaYemenZambiaZimbabwe Phone:* Fax: Email: My Connection to Cancer:* I have or had cancer Family member or Spouse or Partner Caregiver Friend or loved one Healthcare provider Health professional Know someone with cancer No connection I prefer not to respond Other *Orders are limited to 50 copies of each brochure [450 brochures total] for orders placed within the United States and a total number of 80 brochures requested internationally. Due to demand, we cannot guarantee that you will receive the amount of materials requested, however, we will inform you if your request cannot be met. The Road to Survivorship (Multicultural for all audiences) # Requested You are a Survivor (African American) # Requested Voices of Strength (American Indian / Alaska Native) # Requested What's Next? (Hispanic / Latino in English) # Requested ¿Y ahora qué? (Hispanic / Latino in Spanish) # Requested   Planning for Life After Treatment (Adolescent / Young Adult) # Requested The Road Ahead (Appalachian) # Requested Strength as a Survivor (Asian American) # Requested The Survivorship Journey (Pacific Islander) # Requested Which type of organization will be distributing the brochures:* -- please make a selection --Non-profit organizationGovernment agencyFoundationHospital or clinicIndividualOther If Other - what type of organization?: Have you distributed these brochures in the past?:* Yes No What population do you serve? (check all that apply): Cancer Survivors Caregivers Other If Other - what population?: Please briefly describe how you plan to distribute the brochures:* Where did you hear about the Living After Cancer Treatment Series:* Conference Livestrong.org LAF event Colleague/Friend Healthcare provider Direct Mailing Other