Last Step! Congratulations! We want to thank you for taking the time to fill out your Roundup contract. In order for us to move forward with your case, please fill out the following: Full Name(required) Phone Number(required) Email Address(required) What years did you use Roundup?(required) What type of injury/symptoms occurred?(required) Non-Hodgkin lymphoma chronic lymphocytic leukemia B-cell lymphoma Hairy cell leukemia Lymphocytic lymphoma Death Other What Hospital treated you for your injury? What year did you suffer your injury? Additional Information Submit
