Registration: Advocacy Day 2020

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Thank you for registering for Advocacy Day 2020 with Alzheimer's Association Washington State Chapter. We appreciate your time and look forward to spending Tuesday, Feb. 18 with you in Olympia! Please help us connect you to the best resources by answering the following questions:

Email *

First Name *

Last Name *

Phone Number *

What is your relationship to the disease? *

I am living with Alzheimer's or dementia

I am a caregiver for someone with the disease

I have lost someone to the disease

I am an advocate

Home Zip Code *

In which legislative district do you live and vote? (Please enter the number by going to http://app.leg.wa.gov/DistrictFinder) *

Transportation Options *

Bus pickup in Lynnwood

Bus pickup in Northgate

Bus pickup in Tukwila

Bus pickup in Tacoma

Meet in Olympia

I am interested in Carpooling

Would you be interested in learning of hotel options for February 17th? *

Yes

Dietary Restrictions

A copy of your responses will be emailed to the address you provided.

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