Alzheimer's
Foundation of America

60 in 60 donation

Donation Amount*
Name*
First Last
Email*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
In honor of
In Memory of
Notification Type*
- Send by Letter
- Send by Email
Notification Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Notification Email*
Enter Email Confirm Email
Tribute Name*
First Last
The person whose name you would like to make the gift in.
Please send Tribute card/Email to:*
First Last
The person who you would like to be notified of this gift.
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Total
$0.00

Click to enlarge text

A A A

Email*
Name*
First Last
Organization (if applicable)
Address*
Street Address Address Line 2 City State/Province ZIP / Postal Code
What encouraged you to sign up?
- I'm a family caregiver
- I'm a dementia care professional (i.e. doctor, nurse, social worker, home health aide)
- I'm living with a dementia-related illness
- I'm interested in learning more about AFA
CAPTCHA