ALS Tech Support Form
Thank you for reaching out to the ALS Association Evergreen Chapter. Please fill out the form below even if you are already connected to our Chapter, this helps us stay on top of your requests. We will contact you within 1-3 business days. Look forward to serving you!
Serving individuals diagnosed with ALS and reside in either: Washington, Alaska, Montana, or Idaho
How can we help?
consulting/training (describe in "other")
Loan Locker request (list in "other")
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