SHARE YOUR STORIES

Publish Your Story and help others!

Along with your story, please submit your name, country, age, occupation, type of AMD and year of diagnosis. If you would like your photo associated with your story, please attach it below. You can either submit your story in the textbox provided, or upload a Word file. Each file uploaded should be under 1MB.

We respect your Privacy: AMD Alliance International does not share or disclose your personal information with any third party. Together with your story, we will only publish your first name, age, country, type of AMD and year of diagnosis.

FIRST NAME:
LAST NAME:
EMAIL:
CITY:
STATE/
PROVINCE:
COUNTRY:
AGE:
SEX:
M F
OCCUPATION:
TYPE OF AMD:
YEAR OF
DIAGNOSIS:

SUBMIT
YOUR STORY:

(max 5.000
characters)
ATTACH FILES
 
YES, I GIVE PERMISSION TO DISPLAY MY STORY ON AMDALLIANCE.ORG
I AGREE TO THE FOLLOWING TERMS AND CONDITIONS

Terms and Conditions
The content of and any views expressed in my personal story are mine and are not necessarily those of AMD Alliance International.

As a condition of submitting my story to this page, I agree to and hereby indemnify AMD Alliance International against all liability at law for the material contained therein.

I understand that AMD Alliance International reserves the right to edit my story if necessary.


   

PREFER TO EMAIL US? If you would prefer to email us your story, please send it to info@amdalliance.org, along with your name, country, age, occupation, type of AMD, and year of diagnosis. If you would like your photo associated with your story, please attach it to the email as well.