T1DE Mailing List

Please fill out the following form to sign up or update your T1DE (aka "tide") mailing list profile. T1DE is 501(c)3 volunteer organization located in Lynchburg, VA and we are currently servicing areas in Virginia. This information is used to keep some basic information so we can better serve YOU!
Your information will never be distributed to third parties without your explicit consent. For date fields, the actual day of the date is not important. For more information on our organization, please visit our website www.t1de.org or email us directly at info@t1de.org and follow us on Facebook at facebook.com/t1de.org. We look forward to share in your Type One Diabetes Experience :>.
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Allows us to notify you for special events / programs for your area.
Check all that apply.
Would you like one of our family liaisons to contact you directly to see how we can support you in your T1D Experience.
First name of your PWD if applicable
Month/Year of Birth of PWD if applicable
Month/year of Diagnosis if applicable
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