Share Your Story - Alzheimer's Association Oregon & Southwest Washington Chapter
Looking for a small way to make a big impact in the fight against Alzheimer’s?  Consider sharing your story and inspiring others. It's easy! Just take a few moments to fill out the below form and we may contact you with opportunities to share your story on a broader scale, from our e-newsletter and social media channels, to media interviews or printed marketing collateral.
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First Name: *
Last Name: *
Street Address: *
City: *
State: *
Zip: *
County: *
Phone Number: *
Email Address: *
Please indicate each role in which you identify yourself (check any that apply):
Please indicate any Alzheimer's Association services you have used (check any that apply):
Please indicate which Alzheimer's Association events you have participated in - past or current (check any that apply):
In a few sentences, please share your personal story:
I would like to be contacted by the Alzheimer's Association for communications opportunities.
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