Patti Robinson Kaufmann First Connection Program
Online Request Form

Please note, requests can only be accommodated for individuals who live in the US or Canada.
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With which race(s) do you identify? (Select all that apply) *
Do you identify as Hispanic, Latino or Spanish origin? *
Please specify your gender. *
Have you ever served on active duty in the U.S. Armed Forces, Military Reserves, or National Guard? *

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The Leukemia & Lymphoma Society (LLS) is the world's largest voluntary health organization dedicated to funding blood cancer research, education, and patient services. LLS's mission: Cure leukemia, lymphoma, Hodgkin's disease and myeloma, and improve the quality of life of patients and their families.
 
Need Help? Contact us
infocenter@lls.org
(800) 955-4572