Wear it pink this October At work. At school. At home. Wherever you do it, wear pink and raise money to fund life-changing research and support
Home Get involved Volunteer with us Breast Cancer Voices Become a Breast Cancer Voice About you Title Select an option Mr Mrs Ms Miss Mx Dr Professor First name * Last name * Email * Address Your address * Add your postcode below to find your address. Enter address manually Address line 1 * Address line 2 Address line 3 Town / city * County Postcode * Country * Phone number How did you hear about Breast Cancer Voices? Select an option Found it on the website Facebook Instagram Twitter LinkedIn Through a Breast Cancer Now email Attending a support service Breast Cancer Now staff member Friend or family member Healthcare professional Other (please state) Other Do you have a connection to breast cancer? If you select information about your health from the drop-down menu, we may use this to provide you with tailored breast health information, volunteering opportunities and to manage how we communicate with you. We may also use this information to better understand our supporters. By selecting the information relating to my health status, I agree to Breast Cancer Now using the information for the above purpose. If you no longer want us to use your information in these ways, you can get in touch to withdraw your permission using the contact details on this form. Experience of breast cancer * Select an option I have/have had primary breast cancer I have secondary/metastatic breast cancer (spread to another part of the body) A family member has/has had breast cancer I have lost someone to breast cancer I have been personally affected by breast cancer but I prefer not to say how Date of most recent diagnosis (month and year) Month Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year Year 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 If none of these apply unfortunately you cannot be a Voice, but there are lots of other ways you can get involved. Your level of involvement As a Voice, we’ll send you our monthly bulletin with the month’s opportunities to get involved in a wide range of opportunities. The bulletin also includes stories from other Voices and news about the impact you’re having. If you'd like to be more involved, you can sign up as a louder Voice. In addition to the monthly bulletin, louder Voices may receive emails throughout the month with more urgent, ad hoc opportunities, or personalised invitations based on the information you give us. We'll invite you to complete our Getting to Know You survey, where you can tell us more about your specific interests and skills, and sign up for a welcome call. Please let us know your preferences below: Your level of involvement * Select an option I’d like to become a louder Voice and hear from you more often with more personal, urgent requests. I would just like to receive the monthly email newsletters for now. Equality and diversity Breast Cancer Now is committed to equity, diversity and inclusion The following questions will help us understand a little more about you and your background. Although they may feel personal, your answers are really valuable to us and will only be used to help us understand the range of people who get involved, and so we can ensure we're involving people with different kinds of experiences and ensuring our work is representative. These questions are entirely optional. If in the future you don’t want us to use your information in this way, you can contact the Voices team to let us know at voices@breastcancernow.org. Date of birth Day Month Year Gender Select an option Male Female Non-binary Prefer not to say Other Other Please tell us about your ethnic background: Select an option I'd rather not say Asian or Asian British Black or Black British Mixed White Other ethnic groups Equality and diversity agreement * Equality and diversity agreement * I understand and confirm that in providing information about myself, my health and ethnicity on this form, I give Breast Cancer Now my permission to store and use the information I provide for the above purposes White Select an option English, Welsh, Scottish, Northern Irish or British Gypsy or Irish Traveller Irish Any other White background Asian or Asian British Select an option Bangladeshi Chinese Indian Pakistani Any other Asian background Mixed Select an option White and Asian White and Black African White and Black Caribbean Any other Mixed or Multiple ethnic background Black or Black British Select an option African Caribbean Any other Black, African or Caribbean background Other Select an option Arab Any other ethnic group Please state Keeping in touch with Breast Cancer Now We’d like to tell you about ways you can help further, including through donating, fundraising, campaigning and volunteering, and send you updates on our research, the support we provide, breast health information and our wider work to achieve our aims. If you already hear from us, we will continue to contact you in the same way. If you don’t already hear from us, please tick the box if you are happy to be contacted by: Email Mobile How we use your information From time to time, we may contact you by telephone and post about Breast Cancer Now, to keep you updated on our work and ways you can help. You can change the way you hear from us at any time by emailing us at hello@breastcancernow.org or calling us on 0333 20 70 300. To help us to work more efficiently, we may analyse your information to make sure you receive the most relevant communications, and to target our digital advertising. This may include using publicly available information. You can ask us to stop this at any time, by contacting us using the above contact details. You can read more about how we will use your information in our privacy policy. Confidentiality From time to time the emails may contain confidential information, for example in advance of public campaigns we are working on. We’ll let you know you where this is the case. As a Breast Cancer Voice, we also ask that you keep any such information confidential. Confidentiality * Confidentiality * By joining Voices I agree to keep the confidentiality of any opportunities where indicated. Submit Share this page Copy link
