Membership Application

Perhaps you would like to join MAC to meet men who have survived prostate cancer ?

MAC members  are prepared to offer guidance and support to men diagnosed with Prostate Cancer. 

As a member of MAC you will be entered on our email circulation list.

You will receive:

• The Europa Uomo newsletter, bi-weekly
• Requests received by MAC
  – for patient participation in Research Surveys
  – Patient participation in Research panels
  – Information on online webinars on Prostate Cancer issues

At any stage you can request to be removed from the MAC circulation list.

MEMBERSHIP APPLICATION

To apply to become a member of MAC, please complete the application form below.

Items with an * are required.  All other fields are optional.

This form is secured by SSL Encryption, your privacy is very important to us and all data will be handled in accord with the GDPR and our Privacy Policy.