Form 1 Email Intake Form
Collection of Customer Service, Demographic and Smoking/Tobacco Use Information from NCI's Contact Center, Cancer Information Service (CIS) Clients (NCI)
Appendix 2 Email Intake Form on Cancer.gov
E-mail Intake form
OMB: 0925-0208
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NCI/Office of Communications and Public Liaison |
APPENDIX 2 |
EMAIL INTAKE FORM on CANCER.GOV |
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Found at: https://www.cancer.gov/contact/email-us
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | APPENDIX 2 |
| Subject | EMAIL INTAKE FORM on CANCER.GOV |
| Author | Burstyn, Ilene (NIH/NCI) [E] |
| File Modified | 0000-00-00 |
| File Created | 2025-05-29 |
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