Share Your Story

If you have been affected by testicular and prostate cancer, you can help us to raise awareness by sharing your story. You may even help to save someone’s life.

Everyman is often approached by media from all over the UK who wish to speak to people who have been affected by testicular and prostate cancer, either through their own personal experience or through the experience of a family member or friend. Whatever your experience we are very keen to hear from you.

If you would be willing to talk about your experiences please do complete the following form and we will contact you to talk through your experiences in more detail. Please be assured we will never give out your details to the media without checking with you first.

First Name :	*
Surname:	*
Your email:	*
Your Gender:	*
Telephone Number:	*
Address 1:	*
Address 2:
Address 3:
Postcode:	*
Your Experience:
* I agree to The Institute of Cancer Research keeping and using this information, and other information which may be supplied in the future, for the purpose of promoting the work of The Institute of Cancer Research and cancer in general through the media. I understand The Institute of Cancer Research will give not disclose this information to any other person or organisation except in connection with the above purposes and will not give out my details without my verbal consent (Data Protection Act 1998).
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