Alzheimer's
Foundation of America

Membership Levels

Level	Price
Member	Membership expires after 1 Year.	Select
Associate Member	Membership expires after 1 Year.	Select
Screening Site Account		Select
Memory Screener		Select

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"*" indicates required fields

Name*

First Last

Email*

Organization (if applicable)

Address*

Street Address City State ZIP 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

Other

If other, please specify.