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Texas! Share Your Story!
Storytelling is a powerful way to inspire action, and build a community of support around our mission to end Alzheimer’s and all other dementia. If you or someone you know would like to share their story in support of the Alzheimer's Association's mission, please let us know!
Please provide us with your contact information and a couple brief items, and we will be in touch with you to learn more about your journey.
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Email
*
Your email
1. Tell us your name
*
Your answer
2. City
*
Your answer
3. Phone
*
Your answer
4. Choose your role from the drop-down menu
Choose
Person living with Alzheimer's or dementia
Caregiver
Advocate
Volunteer
Researcher
Physician
Person Living with the Disease - on treatment
Friend
Other
5. Chapter name
*
Choose
Capital of Texas
Dallas & Northeast Texas
Houston & Southeast Texas
North Central Texas
San Antonio & South Texas
West Texas
6. Someone from the Alzheimer's Association will be reaching out to learn more, but you may use this space to tell us a little bit about your story or anything else you'd like to share.
Your answer
7. Indicate how you prefer to be contacted
*
Telephone
E-mail
Text (charges may apply)
Required
8. Consent
*
By providing this information, you acknowledge and consent to the terms of the Association's Privacy Policy:
alz.org/security-and-privacy-policy
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