I want my state to be a Blue Star State!
Interested in requesting a state proclamation from your governor? Let us know!

Fill out the form below and we'll contact you with all of the tools you need for your state to recognize March as Colorectal Cancer Awareness Month. (Note: proclamation requests must be submitted EACH YEAR. Multiple requests can be submitted for each state - the more, the merrier!)

You should hear from us within 3 days. By filling out this form, you will be added to our advocate email list; you can unsubscribe at any time.

First Name
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Last Name
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Email Address
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Phone Number
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Address
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City
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State
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Zip code
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What's your Twitter handle (@_____)?
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What's your Instagram username (@_____)?
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How did you hear about Blue Star States?
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What's your connection to colorectal cancer?
Have you submitted a proclamation request before?
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