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Community hosted events
Community hosted events
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Full Name
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Phone
Email Address
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Connection to blood cancer
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I am a patient/survivor
Someone I know was diagnosed with a blood cancer
Someone I know has passed away from a blood cancer
I’d rather not say
I do not have a specific connection to blood cancers.
Have you previously participated in a Light The Night event? If so where?
What city and province will the event be held?
City
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Province
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Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Proposed date of event
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