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Our Mission is to:
  • Improve the quality of life for patients and caregivers
  • Develop new medications and treatments for Alzheimer disease and related conditions
  • Suport research to better understand Alzheimer disease and related conditions
Yes! I want to make a gift or tribute to support the Mary S. Easton Center for Alzheimer's Disease Research at UCLA.



Required fields are indicated with an asterisk (*).
Your contribution to the Mary S. Easton Center for Alzheimer's Disease Research at UCLA is greatly appreciated.
*I would like to make a new gift of   Other $


Personal
Title:
* First name:
  Middle name:
* Last name:
  Suffix:
   I am making this gift as a proxy for my organization/company, which should be recognized as the legal donor
  Birth date (mm/dd/yyyy):
UCLA graduation year(s):

Spouse/Partner
  Name:  
  UCLA graduation year(s):

Joint Gift
* This is a joint gift with
my spouse/partner
:

Contact Information
* Street:
 
U.S. Addresses  
*   City, State, Zip:
Non-U.S. Addresses  
  Non-U.S. City/County
  or Province/Postal Code:
  Country:
* This address is my:
* Home telephone:
Business telephone:

* E-mail address:
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Matching Gift

  My/my spouse's employer will match my gift.
  Company name for matching gifts:
  This company is:
Tribute Gift
Please check this box if you would like to honor a family member, faculty member, business associate, community leader, or other with your contribution.
 
Payment method:
I am the parent of a current UCLA student
  Student name:
  Anticipated graduation year:
I am interested in learning more about how I can include UCLA in my estate plan.
This gift is anonymous.
I am interested in learning more about research and new treatments for Alzheimer Disease.
 
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