

As an official Circle of Promise Ambassador,
be prepared with all the tools to begin making
a difference! Receive your Welcome Kit by
completing all fields below when you join!
Please allow 4-6 weeks for U.S. delivery.
Allow extra time for delivery outside the U.S.
The Circle of Promise needs you! Without your help, we cannot win our fight to end breast cancer forever.
| *Required Information | |
| *First Name: | |
| *Last Name: | |
| *Address: | |
| *City: | |
| Country: | |
| *State/Province: | |
| *Zip/Postal Code: | |
| Phone: | |
| Email: | |
| Birth Date: | |
| Breast Cancer Survivor? |
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| How did you hear about the Circle of Promise? |
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| Would you like to subscribe? | |
Show your Promise on the Quilt |
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| Upload a photo: |
Browse to upload a photo. You can upload a JPG file. The maximum size for a quilt picture is 500px by 500px. |
| Or upload photo later. | |
| Write a message for the quilt: |
140 character limit |