Removal From Mailing or Calling Lists Request Form

Center for Information and Community Support

Thank you for contacting the Center for Information and Community Support!

Please fill out this form so we can properly assist you. We will respond within three business days.

If you would like immediate assistance, please call us Monday-Friday 8:30 a.m. to 8:00 p.m. ET at 1-800-DIABETES (800-342-2383)

 


Your Name (required)

 

Your Email Address (required)
We need your email address so that we can respond to your question.

 

Mail
If you need help being removed from a mailing list, please provide the postal address as it appears on the item mailed to you (for example, 123 Elm Street, Anywhere, Virginia 22311):

 

Phone Calls
If you need help being removed from a call list, please provide the phone number being called
(for example, 703-555-1212):

 

Subject (required)
(a brief description, for example, "Remove me from a newsletter list.")

 

Your Question or Concern (required)
(please be as specific and complete as possible so we can better answer your question)

   

  • Last Reviewed: November 17, 2013
  • Last Edited: November 17, 2013