Blood Cancer United privacy request

We understand that in this digital age, your and your loved ones' personal information is valuable and important to protect. If you have concerns, you can use this form. You can submit requests to either have your personal information removed from our systems or you can receive a copy of your information from our systems. This form can also be used to request that Blood Cancer United does not share your personal information with third parties.

( * Indicates a required field)

What is being requested? Choose one type from the dropdown.
Referencing the field above, what is the relationship to the requester?
The first name of the person making this request for the person whose information is involved.
The last name of the person making this request for the person whose information is involved.
A phone number of the person making this request for the person whose information is involved.

Please provide the following information on the individual you are requesting action for:

The first name of the person whose information is involved.
The last name of the person whose information is involved.
An email address for the person whose information is involved.
The street address of the person whose information is involved.
The city or town where the person whose information is involved resides.
The state where the person whose information is involved resides. Choose one state from the dropdown.
The postal code where the person whose information is involved resides.
A telephone number for the person whose information is involved.

The Leukemia & Lymphoma Society (LLS) is now Blood Cancer United. Learn more.