Breast self-exam mobile reminder service
We understand how busy you are and how easy it is to forget to examine your breasts each month. That's why we've developed this service. Fill out the form below and we'll send you a breast self-examination reminder via text message on your cell phone on a regular basis for as long as you'd like. Information is your best defense – Rethink Breast Cancer emphasizes the importance of being familiar with your breasts. Visit rethinkbreastcancer.com for tips on how you can be more breast aware.

Please note that your information provided here will be used only for our reminder service purposes.

Breast Self-Exam mobile reminder service

Step 1 – Please enter the start date of your last period.
day (dd) year


Step 2 – Please enter the number of days of your cycle. (For example, does it come every 21, 28 or 30 days?) days


Step 3 – I would like to receive my alerts by :

Enter your mobile phone number (e.g. 6045551212)
Standard Carrier Messaging rates apply. BSE Service available in Canada on the following carrier networks: Rogers Wireless, Telus Mobility, FIDO, Bell Mobility, NorthernTel Mobility, Télébec Mobilité, Aliant Mobility, MTS Mobility, SaskTel Mobility and Virgin Mobile. For your standard text messaging rate contact your carrier.
 
NAME:
ADDRESS:
 
CITY:
PROVINCE:
POSTAL CODE: (Please omit spaces)
EMAIL: