CLINN Membership

Thank you for joining the Cutaneous Lymphoma International Nurses Network (CLINN). The Cutaneous Lymphoma Foundation manages the CLINN membership and mailing list - by joining, you give the Foundation permission to add you to their database and to send email related to the CLINN to the address you provide.

1. Contact Information *This question is required.

First Name

Last Name

Professional Suffix (i.e. ANP, CNS, CNC, EN, LPN, RN, NP, etc)

Position held

Medical Facility/Health Center

City

State

Country

Email Address

Mobile Phone

2. To comply with privacy regulations, before we can add you to our mailing list we ask that you please tick the boxes below to confirm the ways you would prefer to hear from CLINN: *This question is required.

Space Cell	Yes	No
I would like to receive communication by phone.	I would like to receive communication by phone.: Yes	I would like to receive communication by phone.: No
I would like to receive communication by email.	I would like to receive communication by email.: Yes	I would like to receive communication by email.: No
I may receive communication by postal service.	I may receive communication by postal service.: Yes	I may receive communication by postal service.: No

The Cutaneous Lymphoma Foundation respects the privacy of our community and does not share or sell our mailing lists to outside organizations.

Join the CLINN Online Community on Basecamp!

As a member of the CLINN, you have the opportunity to join its online community provided through the Cutaneous Lymphoma Foundation. The CLINN online community provides a private space to share information, post messages and collaborate.

Please note: The Foundation is hosting the CLINN on the Basecamp platform requiring you create a free Basecamp account if you do not already have one. Upon confirming your desire to become a member of the community through this form, you will receive an invitation to join Basecamp to join. Some medical institutions may block the invitation to join and/or receive notifications, so we recommend using a personal email address. Your email will not be visible to other members.

If you are unfamiliar with the Basecamp platform, we've created a tip sheet to help you find your way around: https://bit.ly/CLINNTips

3. Would you like to join?

4. Email for community This question requires a valid email address.

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