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Share Your Story, Inspire Others:
Join Stemline's Ambassador Program

Stemline would like to meet individuals who are interested in sharing their experience with ESR1-mutated, ER+/HER2- metastatic breast cancer and potentially offering their perspective to others impacted by metastatic breast cancer.

Please fill out the form below and a representative from Stemline Therapeutics will be in touch with you to provide you with more information about potential opportunities to collaborate with Stemline Therapeutics.

^*Required

By checking this box, I confirm that I am at least 18 years old.^*

I am a:

Person living with ESR1-mutated, ER+/HER2- metastatic breast cancer Caregiver of someone living with ESR1-mutated, ER+/HER2- metastatic breast cancer

First Name^*

Last Name^*

Email^*

Phone Number^*

Country^*

I may be interested in sharing my story. I am voluntarily providing my personal information, including information about my health, to Stemline Therapeutics, Inc. and its agent, Snow Companies, for this purpose. I understand and agree that Stemline Therapeutics, its agents, including but not limited to, Snow Companies will use this information for purposes of screening and to discuss my potential interest in this opportunity and that they may contact me to discuss my interest in sharing my story.

I agree^*

SUBMIT

Thank you for your interest in sharing your story.

We will be in touch with you soon.

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Stemline, its agents, including but not limited to, Snow Companies, will not rent or sell your personal information. Your information will be retained only as long as required to fulfill the purpose stated above, or any additional purpose for which you provide consent. For information about Snow’s privacy practices and your data privacy rights, please review Snow’s Privacy Notice. For Stemline’s Privacy Policy, please click here.

Stemline will not use your information for any other purpose or share it with any third parties without your further consent. We will not sell your information. We will retain your information only as long as required to fulfll the purpose stated above or any additional purpose for which you provide consent. For information about our privacy practices and your data privacy rights, please review our Privacy Notice.

Share Your Story, Inspire Others: Join Stemline's Ambassador Program

Thank you for your interest in sharing your story.

We will be in touch with you soon.

There was a problem

Share Your Story, Inspire Others:
Join Stemline's Ambassador Program