2023 Iowa Walk to End Alzheimer's Fundraising Supplies Order Form
We have a variety of FREE fundraising supplies and marketing materials to help you be successful in raising funds to end Alzheimer's and in spreading the word about the Walk!

Registered Team Captains and Walkers are encouraged to use official Walk to End Alzheimer's supplies to assist with fundraising efforts and promotional events. To register please visit alz.org/walkSupplies will be sent within 7-14 days of the request. please email us if you need something by a specific date.

Please Note: There is a cost to the Alzheimer's Association for each of the items below; please use your discretion in requesting materials. Thank you for helping to support our mission!  Some items may not be available at the time of your order.

Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Phone Number *
Walk Location *
How would you like to receive these items? *
Mailing Address (if you would prefer items to be mailed)
City
State
Zip
Requested Item(s)
Quantity Requested - Please indicate how many packs of each item you would like *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Alzheimer's Association. Report Abuse