2025 AGSD Conference Financial Assistance Request
Please complete the following form for financial assistance consideration. 
** Assistance will be granted no more than 1 time per 3 year cycle for the annual conference.
Email *
Name *
Address *
Phone *
Are you a registered member of AGSD? *
Have you previously attended an AGSD Conference? *
First and last name of all people in your party attending  (GSD patient and immediate family only).
Please provide a short statement regarding your financial hardship. *
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