2023 Senior SnuggALZ Commitment 
Help us bring our seniors comfort and joy this holiday season! 
There are proven benefits of giving someone with Alzheimer’s or dementia a stuffed animal. It can help distract or calm someone who is upset, provide comfort, and provide a focal point for interaction with others. And of course the elephant represents memory.

A portion of the proceeds will also go back to our Tennessee Chapter to help us provide much needed funds for research, as well as local care, and support. For every $35 donated, we will send the SnuggALZ to a Senior Living Facility of your choosing in time for the holidays!

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Mailing Address (Address, City, State, Zip) *
Contact for Order *
Phone Number *
Email Address: *
Commitment Level: *
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**If "Single or Custom Order" was selected, please provide number of elephants you would like to purchase below:
Payment Information: *
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Print out THIS FORM and mail to:
Alzheimer's Association
6025 Brookvale Lane, Ste. 207
Knoxville, TN 37919
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Your typed name below confirms your pledge of payment for the selected commitment level. *
A copy of your responses will be emailed to the address you provided.
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