Alzheimer's Association : Casual for a Cause Registration Form

Casual for a Cause Details

Go Casual for a Cause in your workplace to raise funds and awareness for Alzheimer’s. Encourage employees to dress down or wear jeans in exchange for a small donation (usually $5) to the Alzheimer's Association. Display your commitment to the cause by wearing our symbol. Complete the form below to order your free kit, complete with symbol stickers. Click here to download a customizable flyer to advertise your event in the workplace.

Shipping Information

First Name: Required

Last Name: Required

Email: Required

Street 1: Required

Street 2:

City/State/ZIP:

City Required	State Required	ZIP Required

Phone Number: Required

Yes, I would like to receive postal mail from Alzheimer's Association

Remember me. What's this?

Question - Required - Company Name

Question - Not Required - Phone (Evening)

Question - Required - My Fundraising Goal ($):

Question - Not Required - Event:

Question - Not Required - Event Location:

Question - Not Required - Event Date:

Month

Day

Year

Question - Required - Expected Number of Participants:

Question - Required - # Stickers Ordered

Please allow 7 to 10 days, from the time of your request for receipt.

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National Headquarters
Alzheimer's Association National Office, 225 N. Michigan Ave., Fl. 17, Chicago, IL 60601
Alzheimer's Association is a not-for-profit 501(c)(3) organization.

Our vision is a world without Alzheimer's
Formed in 1980, the Alzheimer's Association is the world's leading voluntary health organization in Alzheimer's care, support and research.