All_Alpha1UKSupport


 

Welcome to our Alpha-1 UK membership sign-up form.

We use your details to keep you informed about upcoming events, important news, and opportunities to get involved in our work to improve access to care and therapies across the UK. We promise to keep our communications relevant and won’t overwhelm your inbox.

You may be a patient, parent, partner, carer, or someone who simply wants to learn more about Alpha-1 Antitrypsin Deficiency and our community. Please select the option that best describes you so we can provide the most helpful information and support.

Only a small number of fields are required (marked with *). This information helps us understand where our community is based, particularly across the UK, and allows us to plan local support and regional events.

We never share your personal information and always comply with GDPR. You can unsubscribe at any time.

Thank you for joining the Alpha-1 UK community.

* indicates required
Please note that your email address is a mandatory field
Please note that your name is a mandatory field
Please note that your name is a mandatory field
This enables us to target regional events and campaign activities
We have made Country mandatory as we have some events that are country specific
/
This field is not mandatory however, it helps us understand the derma graphic of our member
This helps understand the geographic spread of Alpha-1
If you know your phenotype, you can share it here, ie MZ, MS, ZZ or Don’t Know

Please select all the ways you would like to hear from Alpha-1 UK Support Group:

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