Rally in Albany Registration Form

We have six bus stops located along or near the NYS Thruway (I87) (departure times and locations below). All of the bus stops listed offer free, convenient parking. We ask you to please arrive at least five minutes prior to the designated departure time. Ambassadors from the Alzheimer’s Association will be at each stop to welcome advocates as they board. We will depart from the Empire State Plaza Legislative Office Building in Albany at approximately 4 p.m. for the return home trip.

There is a $10 fee to help defray the cost of the trip and lunch. Mail your check payable to the Alzheimer's Association to:

Att. Michele Muir
The Alzheimer's Association
2 Jefferson Plaza Ste 103
Poughkeepsie, NY 12601

OR call our office at 845-471-2655 to pay with a credit card.

Your Name
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Your Street Address
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Your Email Address
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City, State, ZIP
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Primary phone
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Alternate phone
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Where will you board the bus?
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