Registration
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Registration for the member-only area of the CML Advocates Network

Here you can register to access the member-only area of the website. Please note that only advocates (representatives of leukemia patient organisations) can become members of the CML Advocates Network and access this member-only area of the website. This is because we want to keep our discussions on advocacy and campaigning confidential within the patient community.

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* This Field is required This Field IS NOT visible on profile Information for: Security Code: : Enter Security Code from image. If no image is present then try disabling your advertisement blocker and then refresh this page. Otherwise please contact the website administrator for assistance.
* This Field is required This Field IS visible on profile Information for: First and Last name : Please enter your real full name.
* This Field is required This Field IS visible on profile Information for: Username : Please enter a valid username. The username will be used when you come back to the website and need to login. It needs to have at least 3 characters, no blanks/spaces, and contain the characters 0-9, a-z and A-Z.<br />
* This Field is required This Field IS NOT visible on profile Information for: Password : Please enter a valid password.  No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
* This Field is required This Field IS NOT visible on profile Information for: Verify Password : Please enter a valid password.  No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
* This Field is required This Field IS visible on profile Information for: Your E-Mail address : Please enter your personal email address. An email will be sent to this address containing a link. You need to click on this link to be able to register. Therefore, be sure you enter a valid email address here!<br />
* This Field is required This Field IS visible on profile Information for: Name of Organisation : <p>Name of the organisation</p>
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This Field IS visible on profile Information for: Your role in the organisation : Your role in your organisation, e.g. President, Treasurer, Secretary, Trustee, ...
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This Field IS visible on profile
* This Field is required This Field IS visible on profile Information for: Organisation's Official E-Mail : Official email of the organisation, usually going to the organisation's office
* This Field is required This Field IS visible on profile Information for: Postal address : Address to which postal mail could be sent
This Field IS visible on profile
* This Field is required This Field IS visible on profile Information for: Brief description of the organisation : Short description of the organisation, e.g. what you do, where your key activities are, how many patients it supports, whether it is only for CML patients, etc.
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Please check all information you have provided above. Then click on the "Register" button when you're finished. You will then receive an email with a link that you will need to click to confirm your email address. Please check your spam filter if you do not receive this email. We will then review the information you have provided.
* This Field is required Required field | This Field IS visible on profile Field visible on your profile | This Field IS NOT visible on profile Field not visible on profile | Information for: ? : Field description: Move mouse over icon Information: Point mouse to icon