Join the LRG
The Life Raft Group is open to all GIST patients, their caregivers and family members. Please fill out one of the following Application Forms to join.
All information is confidential.
All information provided will be kept strictly confidential and is for the internal use of the Life Raft Group only. We are committed to protecting the privacy of our members. Any data or information that we share in any way is always cleansed of any identifying information in order to protect confidentiality.
If you fax the form, make sure that your contact information (phone or email) is on the first page you send. Several people have sent failed faxes with no way to contact them.
If you have any problems sending us your application, please contact us at email@example.com or (973) 837-9092.
On-line application - Due to the sensitivity of this page, please do not use special characters (e.g., parentheses, commas, hyphens).