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BE A BUDDY:

You are not alone - but finding someone you can talk to who is your age, with similar interests, coping with the same disease can seem next to impossible - which is why we are developing the Prepare to Live Buddy Search.

Soon you will be able to connect with fellow patients, caregivers and survivors who not only have agreed to exchange information and support, but also share commonalities such as disease type, time since diagnosis, age, interests, profession, musical taste, activities, geographic location etc.

If you are willing to share your experience and advice with others and would like to volunteer as a Buddy, or be contacted when a Buddy who meets your criteria signs up, please fill out the Buddy Search form below.

*Fields marked with an asterisk are required.

*First Name:

Last Name:
Patient Survivor Caregiver

*Create a P2L Member ID:

*Create Password (save this!)
Date diagnosed: Date of Birth:
Male Female  
Interests:














Gardening
Golf
Gym/Aerobics
Hiking/Camping
Ice/Snow Sports
Literature/History
Martial Arts
Motor Racing
Mountaineering
Movies/Cinema
Museums/Galleries














Musical Taste:










What additional comments, experiences or ideas would you like to share?
Would you be interested in any of the following:
Being notified about site updates, film releases and events?
Yes No

Appearing in a film?
Yes No

Holding a fundraiser for Prepare to Live?
Yes No

Donating skills to Prepare to Live?
Yes No
If yes, what skills are you able to offer?
How did you hear about Prepare to Live?
Your contact details:

*Email:

Alternate Email:
Skype:
Mobile/Cell Phone:
iChat Screen Name:
Street Address:
Suburb:
State:
Post Code:
Country:
I am a member of Prepare to Live
I would like to become a member of Prepare to Live
*I have read the Prepare to Live Privacy Policy and User Agreement

 

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