Alzheimer’s Association International Conference (AAIC)

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Title

First Name

Middle Name

Last Name

Are you an ISTAART Member?

Please enter your ISTAART Member Number

Employer/Company/Institution

Department

Address

Address 2

Postal Code

City

State/Province

Nationality

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Phone Number

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Do you have a Twitter handle?

PERSONAL AND PROFESSIONAL DEMOGRAPHICSThe following information helps the Alzheimer’s Association plan future international conferences. Please select only one response for each question

Gender Identity

Prefer to Self Describe

Age

Residency status

Other Residency status

Race/ethnicity

I am interested in becoming a reviewer for Alzheimer’s & Dementia®: The Journal of the Alzheimer’s Association

Are you a clinician?

Do you prescribe medication?

Physician Licensing Number

How many times have you attended AAIC in the past?

Primary discipline/specialty

Other Primary discipline/specialty

Are you a member of any of the following professional societies?

How did you hear about AAIC?

Specify Other

Are you employed in the Alzheimer’s and dementia science field?

I am supporting someone living with Alzheimer’s or other dementia

I am living with Alzheimer’s or other dementia

I am currently employed by the Alzheimer's Association.

Which of the following describes your current position?

Other professional

Which conference theme most closely aligns with your interests?

Other please specify

Professional setting

Other professional setting

Please select the Workshops and Associated Conferences that you plan to attend. Workshops will take place on Friday, July 31. More information can be found on the AAIC Web site.

Terms and ConditionsThe personal data you provide will be used to register you for an event. By completing this registration form, you accept the Term of Use for Alzheimer’s Association and the Data Collection Consent for vFairs

I recognize that all materials submitted to AAIC 2020 are embargoed for publication and broadcast until the officially scheduled date and time of presentation at AAIC 2020. I recognize that public and news announcements made in advance of AAIC may not include the methods, results and/or conclusions, nor the type or direction of results, even if that is included in the name/title of the submitted abstract.

I agree to opt in to receive AAIC-related emails. I understand that the information I provide during registration will enable my access to the AAIC virtual meeting platform. In addition, my personal details may be shared with third parties, including AAIC exhibitors, and I may receive communications from them.

Photo/Video/Audio Recording Policy

I agree with the Photo Policy

News Embargo & Confidentiality Agreement

I agree with the News Embargo & Confidentiality Agreement

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