Forget-me-not Wall

We would like to honour the memory of everyone who leaves us a gift in their Will by adding their name to our online Forget-me-not Wall.

To include your loved one’s dedication and picture, please complete the form below indicating your preferences in the tick boxes.

Name of Legator (required)

Message (required)

If you would like to add an image to your message, please email it to us at [email protected].

Your details

Title (required)

First name (required)

Surname (required)

Address (required)

Phone number (required)

Email (required)

We would love to inspire others by sharing your loved one’s story and the reasons they decided to help people living with dementia, by supporting Alzheimer’s Society in this wonderful way.

Are you happy for us to contact you to discuss this further?

Yes (required)

No (required)

Lots of our supporters find our Memory Walks a great place to come together, remember their loved ones and support people living with dementia through Alzheimer’s Society.

Would you like to find out more about Memory Walks?

Yes (required)

No (required)

We’d love to keep sending you updates on our life-changing services and research, as well as our fundraising, campaigning and volunteering activities.

Please tick below to let us know you’re happy for us to stay in touch. We will never sell your details to any third parties.

How would you like to be contacted by us?

Yes, I’d like to receive updates by email. (required)

Yes, I’d like to receive updates by text message. (required)

Yes, I’d be happy to speak to someone on the phone. (required)

I do not want to receive any mail through the post (required)

Forget-me-not Wall

Your details

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