Participate in Research & Advocacy - Amyloidosis Research Consortium

<!doctype html> <html lang="en-US"> <head>  <script async src="https://www.googletagmanager.com/gtag/js?id=G-RPFRKHTTFG"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-RPFRKHTTFG'); </script> <meta charset="UTF-8"> <meta name="viewport" content="width=device-width, initial-scale=1"> <link rel="profile" href="http://gmpg.org/xfn/11"> <meta name='robots' content='index, follow, max-image-preview:large, max-snippet:-1, max-video-preview:-1' />  <title>Participate in Research & Advocacy - Amyloidosis Research Consortium</title> <meta name="description" content="The experience and perspective you have will help us to address the urgent, unmet medical needs in amyloidosis. ARC is focused on ..." /> <link rel="canonical" href="https://arci.org/participate/" /> <meta property="og:locale" content="en_US" /> <meta property="og:type" content="article" /> <meta property="og:title" content="Participate in Research & Advocacy - Amyloidosis Research Consortium" /> <meta property="og:description" content="The experience and perspective you have will help us to address the urgent, unmet medical needs in amyloidosis. ARC is focused on ..." /> <meta property="og:url" content="https://arci.org/participate/" /> <meta property="og:site_name" content="Amyloidosis Research Consortium" /> <meta property="article:publisher" content="https://facebook.com/amyloidosisresearchconsortium" /> <meta property="article:modified_time" content="2023-09-26T13:58:01+00:00" /> <meta name="twitter:card" content="summary_large_image" /> <meta name="twitter:site" content="@Amyloidosis_ARC" /> <script type="application/ld+json" class="yoast-schema-graph">{"@context":"https://schema.org","@graph":[{"@type":"WebPage","@id":"https://arci.org/participate/","url":"https://arci.org/participate/","name":"Participate in Research & Advocacy - Amyloidosis Research Consortium","isPartOf":{"@id":"https://arci.org/#website"},"datePublished":"2023-09-01T16:41:09+00:00","dateModified":"2023-09-26T13:58:01+00:00","description":"The experience and perspective you have will help us to address the urgent, unmet medical needs in amyloidosis. ARC is focused on ...","breadcrumb":{"@id":"https://arci.org/participate/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https://arci.org/participate/"]}]},{"@type":"BreadcrumbList","@id":"https://arci.org/participate/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://arci.org/"},{"@type":"ListItem","position":2,"name":"Participate in Research [New]"}]},{"@type":"WebSite","@id":"https://arci.org/#website","url":"https://arci.org/","name":"Amyloidosis Research Consortium","description":"Amyloidosis Research Consortium","publisher":{"@id":"https://arci.org/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https://arci.org/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https://arci.org/#organization","name":"Amyloidosis Research Consortium","url":"https://arci.org/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https://arci.org/#/schema/logo/image/","url":"https://arci.org/wp-content/uploads/2019/02/ARC-logo.svg","contentUrl":"https://arci.org/wp-content/uploads/2019/02/ARC-logo.svg","width":1,"height":1,"caption":"Amyloidosis Research Consortium"},"image":{"@id":"https://arci.org/#/schema/logo/image/"},"sameAs":["https://facebook.com/amyloidosisresearchconsortium","https://x.com/Amyloidosis_ARC"]}]}</script>  <link rel='dns-prefetch' href='//maps.googleapis.com' /> <link rel='dns-prefetch' href='//cdnjs.cloudflare.com' /> <link rel='dns-prefetch' href='//maxcdn.bootstrapcdn.com' /> <link rel="alternate" type="application/rss+xml" title="Amyloidosis Research Consortium » Feed" href="https://arci.org/feed/" /> <script type="text/javascript"> /* <![CDATA[ */ window._wpemojiSettings = {"baseUrl":"https:\/\/s.w.org\/images\/core\/emoji\/15.0.3\/72x72\/","ext":".png","svgUrl":"https:\/\/s.w.org\/images\/core\/emoji\/15.0.3\/svg\/","svgExt":".svg","source":{"concatemoji":"https:\/\/arci.org\/wp-includes\/js\/wp-emoji-release.min.js?ver=6.6.2"}}; /*! This file is auto-generated */ !function(i,n){var o,s,e;function c(e){try{var t={supportTests:e,timestamp:(new Date).valueOf()};sessionStorage.setItem(o,JSON.stringify(t))}catch(e){}}function p(e,t,n){e.clearRect(0,0,e.canvas.width,e.canvas.height),e.fillText(t,0,0);var t=new Uint32Array(e.getImageData(0,0,e.canvas.width,e.canvas.height).data),r=(e.clearRect(0,0,e.canvas.width,e.canvas.height),e.fillText(n,0,0),new Uint32Array(e.getImageData(0,0,e.canvas.width,e.canvas.height).data));return t.every(function(e,t){return e===r[t]})}function u(e,t,n){switch(t){case"flag":return n(e,"\ud83c\udff3\ufe0f\u200d\u26a7\ufe0f","\ud83c\udff3\ufe0f\u200b\u26a7\ufe0f")?!1:!n(e,"\ud83c\uddfa\ud83c\uddf3","\ud83c\uddfa\u200b\ud83c\uddf3")&&!n(e,"\ud83c\udff4\udb40\udc67\udb40\udc62\udb40\udc65\udb40\udc6e\udb40\udc67\udb40\udc7f","\ud83c\udff4\u200b\udb40\udc67\u200b\udb40\udc62\u200b\udb40\udc65\u200b\udb40\udc6e\u200b\udb40\udc67\u200b\udb40\udc7f");case"emoji":return!n(e,"\ud83d\udc26\u200d\u2b1b","\ud83d\udc26\u200b\u2b1b")}return!1}function f(e,t,n){var r="undefined"!=typeof WorkerGlobalScope&&self instanceof WorkerGlobalScope?new OffscreenCanvas(300,150):i.createElement("canvas"),a=r.getContext("2d",{willReadFrequently:!0}),o=(a.textBaseline="top",a.font="600 32px Arial",{});return e.forEach(function(e){o[e]=t(a,e,n)}),o}function t(e){var t=i.createElement("script");t.src=e,t.defer=!0,i.head.appendChild(t)}"undefined"!=typeof Promise&&(o="wpEmojiSettingsSupports",s=["flag","emoji"],n.supports={everything:!0,everythingExceptFlag:!0},e=new Promise(function(e){i.addEventListener("DOMContentLoaded",e,{once:!0})}),new Promise(function(t){var n=function(){try{var e=JSON.parse(sessionStorage.getItem(o));if("object"==typeof e&&"number"==typeof e.timestamp&&(new Date).valueOf()<e.timestamp+604800&&"object"==typeof e.supportTests)return e.supportTests}catch(e){}return null}();if(!n){if("undefined"!=typeof Worker&&"undefined"!=typeof OffscreenCanvas&&"undefined"!=typeof URL&&URL.createObjectURL&&"undefined"!=typeof Blob)try{var e="postMessage("+f.toString()+"("+[JSON.stringify(s),u.toString(),p.toString()].join(",")+"));",r=new Blob([e],{type:"text/javascript"}),a=new Worker(URL.createObjectURL(r),{name:"wpTestEmojiSupports"});return void(a.onmessage=function(e){c(n=e.data),a.terminate(),t(n)})}catch(e){}c(n=f(s,u,p))}t(n)}).then(function(e){for(var t in e)n.supports[t]=e[t],n.supports.everything=n.supports.everything&&n.supports[t],"flag"!==t&&(n.supports.everythingExceptFlag=n.supports.everythingExceptFlag&&n.supports[t]);n.supports.everythingExceptFlag=n.supports.everythingExceptFlag&&!n.supports.flag,n.DOMReady=!1,n.readyCallback=function(){n.DOMReady=!0}}).then(function(){return e}).then(function(){var e;n.supports.everything||(n.readyCallback(),(e=n.source||{}).concatemoji?t(e.concatemoji):e.wpemoji&&e.twemoji&&(t(e.twemoji),t(e.wpemoji)))}))}((window,document),window._wpemojiSettings); /* ]]> */ </script> <style id='wp-emoji-styles-inline-css' type='text/css'> img.wp-smiley, img.emoji { display: inline !important; border: none !important; box-shadow: none !important; height: 1em !important; width: 1em !important; margin: 0 0.07em !important; vertical-align: -0.1em !important; background: none !important; padding: 0 !important; } </style> <link rel='stylesheet' id='wp-block-library-css' href='https://arci.org/wp-includes/css/dist/block-library/style.min.css?ver=6.6.2' type='text/css' media='all' /> <style id='classic-theme-styles-inline-css' type='text/css'> /*! This file is auto-generated */ .wp-block-button__link{color:#fff;background-color:#32373c;border-radius:9999px;box-shadow:none;text-decoration:none;padding:calc(.667em + 2px) calc(1.333em + 2px);font-size:1.125em}.wp-block-file__button{background:#32373c;color:#fff;text-decoration:none} </style> <style id='global-styles-inline-css' type='text/css'> :root{--wp--preset--aspect-ratio--square: 1;--wp--preset--aspect-ratio--4-3: 4/3;--wp--preset--aspect-ratio--3-4: 3/4;--wp--preset--aspect-ratio--3-2: 3/2;--wp--preset--aspect-ratio--2-3: 2/3;--wp--preset--aspect-ratio--16-9: 16/9;--wp--preset--aspect-ratio--9-16: 9/16;--wp--preset--color--black: #000000;--wp--preset--color--cyan-bluish-gray: #abb8c3;--wp--preset--color--white: #ffffff;--wp--preset--color--pale-pink: #f78da7;--wp--preset--color--vivid-red: #cf2e2e;--wp--preset--color--luminous-vivid-orange: #ff6900;--wp--preset--color--luminous-vivid-amber: #fcb900;--wp--preset--color--light-green-cyan: #7bdcb5;--wp--preset--color--vivid-green-cyan: #00d084;--wp--preset--color--pale-cyan-blue: #8ed1fc;--wp--preset--color--vivid-cyan-blue: #0693e3;--wp--preset--color--vivid-purple: #9b51e0;--wp--preset--gradient--vivid-cyan-blue-to-vivid-purple: linear-gradient(135deg,rgba(6,147,227,1) 0%,rgb(155,81,224) 100%);--wp--preset--gradient--light-green-cyan-to-vivid-green-cyan: linear-gradient(135deg,rgb(122,220,180) 0%,rgb(0,208,130) 100%);--wp--preset--gradient--luminous-vivid-amber-to-luminous-vivid-orange: linear-gradient(135deg,rgba(252,185,0,1) 0%,rgba(255,105,0,1) 100%);--wp--preset--gradient--luminous-vivid-orange-to-vivid-red: linear-gradient(135deg,rgba(255,105,0,1) 0%,rgb(207,46,46) 100%);--wp--preset--gradient--very-light-gray-to-cyan-bluish-gray: linear-gradient(135deg,rgb(238,238,238) 0%,rgb(169,184,195) 100%);--wp--preset--gradient--cool-to-warm-spectrum: linear-gradient(135deg,rgb(74,234,220) 0%,rgb(151,120,209) 20%,rgb(207,42,186) 40%,rgb(238,44,130) 60%,rgb(251,105,98) 80%,rgb(254,248,76) 100%);--wp--preset--gradient--blush-light-purple: linear-gradient(135deg,rgb(255,206,236) 0%,rgb(152,150,240) 100%);--wp--preset--gradient--blush-bordeaux: linear-gradient(135deg,rgb(254,205,165) 0%,rgb(254,45,45) 50%,rgb(107,0,62) 100%);--wp--preset--gradient--luminous-dusk: linear-gradient(135deg,rgb(255,203,112) 0%,rgb(199,81,192) 50%,rgb(65,88,208) 100%);--wp--preset--gradient--pale-ocean: linear-gradient(135deg,rgb(255,245,203) 0%,rgb(182,227,212) 50%,rgb(51,167,181) 100%);--wp--preset--gradient--electric-grass: linear-gradient(135deg,rgb(202,248,128) 0%,rgb(113,206,126) 100%);--wp--preset--gradient--midnight: linear-gradient(135deg,rgb(2,3,129) 0%,rgb(40,116,252) 100%);--wp--preset--font-size--small: 13px;--wp--preset--font-size--medium: 20px;--wp--preset--font-size--large: 36px;--wp--preset--font-size--x-large: 42px;--wp--preset--spacing--20: 0.44rem;--wp--preset--spacing--30: 0.67rem;--wp--preset--spacing--40: 1rem;--wp--preset--spacing--50: 1.5rem;--wp--preset--spacing--60: 2.25rem;--wp--preset--spacing--70: 3.38rem;--wp--preset--spacing--80: 5.06rem;--wp--preset--shadow--natural: 6px 6px 9px rgba(0, 0, 0, 0.2);--wp--preset--shadow--deep: 12px 12px 50px rgba(0, 0, 0, 0.4);--wp--preset--shadow--sharp: 6px 6px 0px rgba(0, 0, 0, 0.2);--wp--preset--shadow--outlined: 6px 6px 0px -3px rgba(255, 255, 255, 1), 6px 6px rgba(0, 0, 0, 1);--wp--preset--shadow--crisp: 6px 6px 0px rgba(0, 0, 0, 1);}:where(.is-layout-flex){gap: 0.5em;}:where(.is-layout-grid){gap: 0.5em;}body .is-layout-flex{display: flex;}.is-layout-flex{flex-wrap: wrap;align-items: center;}.is-layout-flex > :is(*, div){margin: 0;}body .is-layout-grid{display: grid;}.is-layout-grid > :is(*, div){margin: 0;}:where(.wp-block-columns.is-layout-flex){gap: 2em;}:where(.wp-block-columns.is-layout-grid){gap: 2em;}:where(.wp-block-post-template.is-layout-flex){gap: 1.25em;}:where(.wp-block-post-template.is-layout-grid){gap: 1.25em;}.has-black-color{color: var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-color{color: var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-color{color: var(--wp--preset--color--white) !important;}.has-pale-pink-color{color: var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-color{color: var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-color{color: var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-color{color: var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-color{color: var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-color{color: var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-color{color: var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-color{color: var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-color{color: var(--wp--preset--color--vivid-purple) !important;}.has-black-background-color{background-color: var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-background-color{background-color: var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-background-color{background-color: var(--wp--preset--color--white) !important;}.has-pale-pink-background-color{background-color: var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-background-color{background-color: var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-background-color{background-color: var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-background-color{background-color: var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-background-color{background-color: var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-background-color{background-color: var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-background-color{background-color: var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-background-color{background-color: var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-background-color{background-color: var(--wp--preset--color--vivid-purple) !important;}.has-black-border-color{border-color: var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-border-color{border-color: var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-border-color{border-color: var(--wp--preset--color--white) !important;}.has-pale-pink-border-color{border-color: var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-border-color{border-color: var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-border-color{border-color: var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-border-color{border-color: var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-border-color{border-color: var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-border-color{border-color: var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-border-color{border-color: var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-border-color{border-color: var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-border-color{border-color: var(--wp--preset--color--vivid-purple) !important;}.has-vivid-cyan-blue-to-vivid-purple-gradient-background{background: var(--wp--preset--gradient--vivid-cyan-blue-to-vivid-purple) !important;}.has-light-green-cyan-to-vivid-green-cyan-gradient-background{background: var(--wp--preset--gradient--light-green-cyan-to-vivid-green-cyan) !important;}.has-luminous-vivid-amber-to-luminous-vivid-orange-gradient-background{background: var(--wp--preset--gradient--luminous-vivid-amber-to-luminous-vivid-orange) !important;}.has-luminous-vivid-orange-to-vivid-red-gradient-background{background: var(--wp--preset--gradient--luminous-vivid-orange-to-vivid-red) !important;}.has-very-light-gray-to-cyan-bluish-gray-gradient-background{background: var(--wp--preset--gradient--very-light-gray-to-cyan-bluish-gray) !important;}.has-cool-to-warm-spectrum-gradient-background{background: var(--wp--preset--gradient--cool-to-warm-spectrum) !important;}.has-blush-light-purple-gradient-background{background: var(--wp--preset--gradient--blush-light-purple) !important;}.has-blush-bordeaux-gradient-background{background: var(--wp--preset--gradient--blush-bordeaux) !important;}.has-luminous-dusk-gradient-background{background: var(--wp--preset--gradient--luminous-dusk) !important;}.has-pale-ocean-gradient-background{background: var(--wp--preset--gradient--pale-ocean) !important;}.has-electric-grass-gradient-background{background: var(--wp--preset--gradient--electric-grass) !important;}.has-midnight-gradient-background{background: var(--wp--preset--gradient--midnight) !important;}.has-small-font-size{font-size: var(--wp--preset--font-size--small) !important;}.has-medium-font-size{font-size: var(--wp--preset--font-size--medium) !important;}.has-large-font-size{font-size: var(--wp--preset--font-size--large) !important;}.has-x-large-font-size{font-size: var(--wp--preset--font-size--x-large) !important;} :where(.wp-block-post-template.is-layout-flex){gap: 1.25em;}:where(.wp-block-post-template.is-layout-grid){gap: 1.25em;} :where(.wp-block-columns.is-layout-flex){gap: 2em;}:where(.wp-block-columns.is-layout-grid){gap: 2em;} :root :where(.wp-block-pullquote){font-size: 1.5em;line-height: 1.6;} </style> <link rel='stylesheet' id='contact-form-7-css' href='https://arci.org/wp-content/plugins/contact-form-7/includes/css/styles.css?ver=6.0' type='text/css' media='all' /> <link rel='stylesheet' id='page-list-style-css' href='https://arci.org/wp-content/plugins/page-list/css/page-list.css?ver=5.7' type='text/css' media='all' /> <link rel='stylesheet' id='font-icons-css' href='https://maxcdn.bootstrapcdn.com/font-awesome/4.6.3/css/font-awesome.min.css?ver=6.6.2' type='text/css' media='all' /> <link rel='stylesheet' id='main-css-css' href='https://arci.org/wp-content/themes/arc/dist/css/style.min.css?ver=1732387247' type='text/css' media='all' /> <link rel='stylesheet' id='override-main-css-css' href='https://arci.org/wp-content/themes/arc/dist/css/style-override.min.css?ver=1732387247' type='text/css' media='all' /> <link rel='stylesheet' id='custom-css-css' href='https://arci.org/wp-content/themes/arc/arc-custom-styles.css?ver=1732387247' type='text/css' media='all' /> <script type="text/javascript" src="https://arci.org/wp-includes/js/jquery/jquery.min.js?ver=3.7.1" id="jquery-core-js"></script> <script type="text/javascript" src="https://arci.org/wp-includes/js/jquery/jquery-migrate.min.js?ver=3.4.1" id="jquery-migrate-js"></script> <link rel="https://api.w.org/" href="https://arci.org/wp-json/" /><link rel="alternate" title="JSON" type="application/json" href="https://arci.org/wp-json/wp/v2/pages/6637" /><link rel="EditURI" type="application/rsd+xml" title="RSD" href="https://arci.org/xmlrpc.php?rsd" /> <link rel='shortlink' href='https://arci.org/?p=6637' /> <link rel="alternate" title="oEmbed (JSON)" type="application/json+oembed" href="https://arci.org/wp-json/oembed/1.0/embed?url=https%3A%2F%2Farci.org%2Fparticipate%2F" /> <link rel="alternate" title="oEmbed (XML)" type="text/xml+oembed" href="https://arci.org/wp-json/oembed/1.0/embed?url=https%3A%2F%2Farci.org%2Fparticipate%2F&format=xml" /> <link rel="icon" href="https://arci.org/wp-content/uploads/2018/06/cropped-Favicon-32x32.png" sizes="32x32" /> <link rel="icon" href="https://arci.org/wp-content/uploads/2018/06/cropped-Favicon-192x192.png" sizes="192x192" /> <link rel="apple-touch-icon" href="https://arci.org/wp-content/uploads/2018/06/cropped-Favicon-180x180.png" /> <meta name="msapplication-TileImage" content="https://arci.org/wp-content/uploads/2018/06/cropped-Favicon-270x270.png" /> <style type="text/css" id="wp-custom-css"> /* You can add your own CSS here. Click the help icon above to learn more. */ .flourish-embed .embed-responsive-16by9:before { padding-bottom: 56.25%; } html > .embed-responsive-16by9:before { padding-top: 0 !important; } body.home > .embed-responsive-16by9:before { padding-top: 0 !important; } .wFormContainer .wForm form { padding: 0 !important; } .postid-3180 .read-more { visibility: hidden; } .grecaptcha-badge{display:none;} .page-template-template-page-builder .block-centre-text .gothem-light p { font-size: 18px;} .page-template-template-page-builder .block-centre-text .padding-text { padding: 0 1%; } .page-template-template-page-builder .block-centre-text h4 { margin-bottom: 30px; } h1 { line-height: 1.1; } li { padding-bottom: 6px; } #headline-navy { color: #093d5c; } .page-id-3836 .page-title .padding-header .page-template-template-page-builder { margin-bottom: 0px !important } .page-id-3836 .block-padding { margin-top: -30px !important} .page-id-3836 .site-content { padding-bottom: 0px; } .page-id-3836 .accordion-header {font-size: 23px !important;} strong {font-family: 'Gotham', Arial, sans-serif; font-weight: 500} .page-id-3836 .page-title h1 { visibility: hidden; } @media only screen and (min-width: 768px) { .page-id-3836 .page-title { padding: 142px 0; } } @media only screen and (min-width: 768px) { .page-id-3836 .page-title { padding: 165px 0; } } .page-id-1727 .main-accordion-title { font-size: 25px !important; text-align: center !important; } .page-id-1727 .block-content h2 { font-size: 25px !important; text-align: center !important; margin: 35px auto; } @media (min-width: 576px){ .page-id-3528 .page-title { padding: 160px 0; } } .page-id-3528 .page-title h1 { font-weight: bold; font-family: 'Gotham'; font-size: 68px; padding-right: 0px; } @media (max-width: 576px) { .page-id-3528 .page-title h1 { font-size: 28px; } } @media (min-width: 1500px) { .page-id-3528 .page-title { padding: 220px 0; } } </style> </head> <body class="page-template page-template-template-page-builder page-template-template-page-builder-php page page-id-6637"> <div id="page" class="site"> <a class="skip-link screen-reader-text" href="#content">Skip to content</a> <header id="masthead" class="site-header"> <div class="container"> <div class="row"> <div class="col-sm-3 d-none d-sm-block"> <a class="navbar-brand" href="https://arci.org"> <img src="https://arci.org/wp-content/themes/arc/img/ARC-logo.svg" alt="logo" class="logo img-fluid" /> </a> </div> <div class="col-sm-9 mobile-no-marg"> <div class="top-row"> <div class="hamburger d-none d-sm-block d-lg-none"> <div class="d-none d-sm-block d-lg-none menu-text">Menu</div> <button class="navbar-toggler navbar-toggler-right collapsed" type="button" data-toggle="collapse" data-target="#bs4navbar"> <span> </span> <span> </span> <span> </span> </button> </div> <a class="donate d-none d-sm-block" href="https://donate.arci.org/give/602482/#!/donation/checkout" title="Donate" target="_blank">Donate</a> <div class="d-none d-sm-block"> <form role="search" method="get" class="search-form" action="https://arci.org/"> <label> <span class="screen-reader-text">Search for:</span> <input type="search" class="search-field" placeholder="Search …" value="" name="s" /> </label> <input type="submit" class="search-submit" value="Search" /> </form> </div> <div class="d-none d-lg-block"><div class="menu-top-menu-container"><ul id="menu-top-menu" class="menu"><li id="menu-item-948" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-948"><a href="https://arci.org/news/">News</a></li> <li id="menu-item-951" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-951"><a href="https://arci.org/events/">Events</a></li> </ul></div></div> </div> <nav class="navbar navbar-expand-lg navbar-light bg-faded"> <div class="d-block d-sm-none full-width"> <a class="navbar-brand" href="https://arci.org"> <img src="https://arci.org/wp-content/themes/arc/img/logo.png" alt="logo" class="logo img-fluid" /> </a> <div class="don-search"> <a href="https://arci.org/search/"> <img src="https://arci.org/wp-content/themes/arc/img/mag.jpg" alt="mag" class="mag-mobile img-fluid" /> </a> <a class="donate" href="https://donate.arci.org/give/602482/#!/donation/checkout" title="Donate" target="_blank"> Donate </a> </div> </div> <div class="d-block d-sm-none clear-mobile"> <div class="col-12 hamburger-mobile"> <button class="navbar-toggler navbar-toggler-right collapsed" type="button" data-toggle="collapse" data-target="#bs4navbar"> <span> </span> <span> </span> <span> </span> </button> <div class="menu-text">Menu</div> </div> </div> <div id="bs4navbar" class="collapse navbar-collapse"><ul id="menu-new_header" class="navbar-nav ml-auto"><li id="menu-item-5146" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-5146 nav-item dropdown"><a class="nav-link">Amyloidosis & Types</a><button type="button" class="btn dropdown-toggle dropdown-toggle-split" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false"><span class="sr-only">Toggle Dropdown</span></button> <div class="dropdown-menu"> <a href="https://arci.org/about-amyloidosis/" class=" dropdown-item">About Amyloidosis</a><a href="https://arci.org/about-amyloidosis/al-amyloidosis/" class=" dropdown-item">AL Amyloidosis</a><a href="https://arci.org/about-amyloidosis/hereditary-attr-amyloidosis/" class=" dropdown-item">Hereditary ATTR Amyloidosis</a><a href="https://arci.org/about-amyloidosis/wild-type-amyloidosis/" class=" dropdown-item">Wild-Type Amyloidosis</a><a href="https://arci.org/about-amyloidosis/other-types-of-amyloidosis/" class=" dropdown-item">Other Types of Amyloidosis</a></div> </li> <li id="menu-item-5152" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-5152 nav-item dropdown"><a class="nav-link">Care & Support</a><button type="button" class="btn dropdown-toggle dropdown-toggle-split" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false"><span class="sr-only">Toggle Dropdown</span></button> <div class="dropdown-menu"> <a href="https://arci.org/patients-and-caregivers/newly-diagnosed/" class=" dropdown-item">Newly Diagnosed</a><a href="https://arci.org/patient-resources/" class=" dropdown-item">Patient Resources</a><a href="https://arci.org/covid-19-and-amyloidosis/" class=" dropdown-item">COVID-19 & Amyloidosis</a><a href="https://arci.org/patients-and-caregivers/finding-support-2/" class=" dropdown-item">Finding Support</a><a href="https://arci.org/patients-and-caregivers/treatment-centers-clinical-trials/" class=" dropdown-item">Treatment Centers & Clinical Trials</a></div> </li> <li id="menu-item-5159" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-5159 nav-item dropdown"><a class="nav-link">Providers & Research</a><button type="button" class="btn dropdown-toggle dropdown-toggle-split" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false"><span class="sr-only">Toggle Dropdown</span></button> <div class="dropdown-menu"> <a href="https://arci.org/the-amyloidosis-forum/" class=" dropdown-item">The Amyloidosis Forum</a><a href="https://arci.org/researchers-and-healthcare-professionals/research-programs/" class=" dropdown-item">Research Programs</a><a href="https://arci.org/researchers-and-healthcare-professionals/hcp-education/" class=" dropdown-item">HCP Education</a><a href="https://arci.org/researchers-and-healthcare-professionals/resources/" class=" dropdown-item">Resources</a><a href="https://arci.org/researchers-and-healthcare-professionals/resources/" class=" dropdown-item">Clinical Resource App</a><a href="https://arci.org/researchers-and-healthcare-professionals/industry/" class=" dropdown-item">Industry</a><a href="https://arci.org/treatment-availability/" class=" dropdown-item">Treatment Availability</a></div> </li> <li id="menu-item-5166" class="menu-item menu-item-type-custom menu-item-object-custom current-menu-ancestor current-menu-parent menu-item-has-children menu-item-5166 nav-item dropdown"><a class="nav-link">Get Involved</a><button type="button" class="btn dropdown-toggle dropdown-toggle-split" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false"><span class="sr-only">Toggle Dropdown</span></button> <div class="dropdown-menu"> <a href="https://arci.org/get-involved/" class=" dropdown-item">Ways to Get Involved</a><a href="https://arci.org/participate/" class=" dropdown-item active">Participate in Research</a><a href="https://arci.org/donate/" class=" dropdown-item">Support ARC</a><a href="https://arci.org/participate/" class=" dropdown-item active">Become an Advocate</a><a href="https://donate.arci.org/campaign/create-a-fundraiser/c177626" class=" dropdown-item">Create a Tribute or Fundraiser</a></div> </li> <li id="menu-item-5172" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-5172 nav-item dropdown"><a class="nav-link">About ARC</a><button type="button" class="btn dropdown-toggle dropdown-toggle-split" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false"><span class="sr-only">Toggle Dropdown</span></button> <div class="dropdown-menu"> <a href="https://arci.org/about-arc/" class="last dropdown-item">What We Do</a><a href="https://arci.org/about-arc/leadership/" class=" dropdown-item">Leadership</a><a href="https://arci.org/about-arc/financial-reports/" class=" dropdown-item">Financials</a><a href="https://arci.org/news/" class=" dropdown-item">News</a><a href="https://arci.org/about-arc/careers/" class=" dropdown-item">Careers</a><a href="https://arci.org/about-arc/contact/" class=" dropdown-item">Contact Us</a></div> </li> <li id="menu-item-5179" class="hideDesktop menu-item menu-item-type-post_type menu-item-object-page menu-item-5179 nav-item"><a href="https://arci.org/news/" class="nav-link">News</a></li> <li id="menu-item-5180" class="hideDesktop menu-item menu-item-type-post_type menu-item-object-page menu-item-5180 nav-item"><a href="https://arci.org/events/" class="nav-link">Events</a></li> <li id="menu-item-5181" class="hideDesktop menu-item menu-item-type-post_type menu-item-object-page menu-item-5181 nav-item"><a href="https://arci.org/privacy/" class="nav-link">Privacy</a></li> </ul></div> </nav> </div> </div> </div> </header> <div id="content" class="site-content "> <div class="page-title "> <picture> <source media="(min-width: 767px)" srcset="https://arci.org/wp-content/uploads/2018/05/AL-Hero.png"> <img src="https://arci.org/wp-content/uploads/2018/05/AL-Hero.png" alt=""> </picture> <div class="container"> <h1>Research & Advocacy</h1> <div class="row"> <div class="col-md-6 mx-auto"> <p>As a patient or caregiver you can play an important role by sharing your perspectives and experiences to help us shape research and address the urgent, unmet medical needs of amyloidosis patients.</p> </div> </div> </div> </div> <div class="block-full-width-text block-full-width-text__no-bottom-space"> <div class="container"> <div class="row"> <div class="col-lg-12"> <p>At ARC we are committed to understanding the true challenges patients face and what matters most to them.</p> <p><strong>ARC Surveys</strong> and studies are conducted throughout the year with the goal of understanding the experiences of patients and caregivers. The purpose of the surveys can vary from gaining perspectives on the journey to diagnosis to clinical experiences, evaluating the benefit versus risk that patients are willing to take with treatments, and other insights.</p> <p><strong>Focus Groups & Patient Panels</strong> can provide you with a unique opportunity to give input into shaping research. These forums may review planned research or assess the value of different types of treatments through the eyes of patients. This provides important insights, and can lead to improvements in the research that is being done.</p> <p><strong>Advocacy</strong> is a critical function of our work to improve and extend the lives of those with amyloidosis, and we need your help. We’d love to connect with you if you’re a patient or caregiver willing to be a subject of one of our patient story videos, speak at the Amyloidosis Forum or other amyloidosis events, or help raise awareness about these devastating diseases.</p> <p>If you are willing to participate in our research initiatives, including patient panels, surveys, or other research, please let us know by completing the form below:</p> </div> </div> </div> </div> <div class="block-centre-text block-padding" style="background-color: #fff"> <div class="container"> <div class="row"> <div class="col-lg-8 offset-lg-2 padding-text"> <style>.wForm form{text-align: left;}</style> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> <meta name="referrer" content="no-referrer-when-downgrade">  <script type="text/javascript" data-for="FA__DOMContentLoadedEventDispatch" src="https://arci.tfaforms.net/js/FA__DOMContentLoadedEventDispatcher.js" defer></script> <style> .captcha { padding-bottom: 1em !important; } .wForm .captcha .oneField { margin: 0; padding: 0; } </style> <script type="text/javascript"> // initialize our variables var captchaReady = 0; var wFORMSReady = 0; var isConditionalSubmitEnabled = false; // when wForms is loaded call this var wformsReadyCallback = function () { // using this var to denote if wForms is loaded wFORMSReady = 1; isConditionalSubmitEnabled = document.getElementById('submit_button').hasAttribute('data-condition'); // call our recaptcha function which is dependent on both // wForms and an async call to google // note the meat of this function wont fire until both // wFORMSReady = 1 and captchaReady = 1 onloadCallback(); } var gCaptchaReadyCallback = function() { // using this var to denote if captcha is loaded captchaReady = 1; isConditionalSubmitEnabled = document.getElementById('submit_button').hasAttribute('data-condition'); // call our recaptcha function which is dependent on both // wForms and an async call to google // note the meat of this function wont fire until both // wFORMSReady = 1 and captchaReady = 1 onloadCallback(); }; // add event listener to fire when wForms is fully loaded document.addEventListener("wFORMSLoaded", wformsReadyCallback); var enableSubmitButton = function() { var submitButton = document.getElementById('submit_button'); var explanation = document.getElementById('disabled-explanation'); var isConditionalSubmitConditionMet = wFORMS.behaviors.condition.isConditionalSubmitConditionMet; if ( submitButton != null && (isConditionalSubmitEnabled && isConditionalSubmitConditionMet) || !isConditionalSubmitEnabled ) { submitButton.removeAttribute('disabled'); if (explanation != null) { explanation.style.display = 'none'; } } }; var disableSubmitButton = function() { var submitButton = document.getElementById('submit_button'); var explanation = document.getElementById('disabled-explanation'); if (submitButton != null) { submitButton.disabled = true; if (explanation != null) { explanation.style.display = 'block'; } } }; // call this on both captcha async complete and wforms fully // initialized since we can't be sure which will complete first // and we need both done for this to function just check that they are // done to fire the functionality var onloadCallback = function () { // if our captcha is ready (async call completed) // and wFORMS is completely loaded then we are ready to add // the captcha to the page if (captchaReady && wFORMSReady) { grecaptcha.enterprise.render('g-recaptcha-render-div', { 'sitekey': '6LfMg_EaAAAAAMhDNLMlgqDChzmtYHlx1yU2y7GI', 'theme': 'light', 'size': 'normal', 'callback': 'enableSubmitButton', 'expired-callback': 'disableSubmitButton' }) var oldRecaptchaCheck = parseInt('1'); if (oldRecaptchaCheck === -1) { var standardCaptcha = document.getElementById("tfa_captcha_text"); standardCaptcha = standardCaptcha.parentNode.parentNode.parentNode; standardCaptcha.parentNode.removeChild(standardCaptcha); } if (!wFORMS.instances['paging']) { document.getElementById("g-recaptcha-render-div").parentNode.parentNode.parentNode.style.display = "block"; //document.getElementById("g-recaptcha-render-div").parentNode.parentNode.parentNode.removeAttribute("hidden"); } document.getElementById("g-recaptcha-render-div").getAttributeNode('id').value = 'tfa_captcha_text'; var captchaError = ''; if (captchaError == '1') { var errMsgText = 'The CAPTCHA was not completed successfully.'; var errMsgDiv = document.createElement('div'); errMsgDiv.id = "tfa_captcha_text-E"; errMsgDiv.className = "err errMsg"; errMsgDiv.innerText = errMsgText; var loc = document.querySelector('.g-captcha-error'); loc.insertBefore(errMsgDiv, loc.childNodes[0]); /* See wFORMS.behaviors.paging.applyTo for origin of this code */ if (wFORMS.instances['paging']) { var b = wFORMS.instances['paging'][0]; var pp = base2.DOM.Element.querySelector(document, wFORMS.behaviors.paging.CAPTCHA_ERROR); if (pp) { var lastPage = 1; for (var i = 1; i < 100; i++) { if (b.behavior.isLastPageIndex(i)) { lastPage = i; break; } } b.jumpTo(lastPage); } } } } } </script> <script src='https://www.google.com/recaptcha/enterprise.js?onload=gCaptchaReadyCallback&render=explicit&hl=en_US' async defer></script> <script type="text/javascript"> document.addEventListener("DOMContentLoaded", function() { var warning = document.getElementById("javascript-warning"); if (warning != null) { warning.parentNode.removeChild(warning); } var oldRecaptchaCheck = parseInt('1'); if (oldRecaptchaCheck !== -1) { var explanation = document.getElementById('disabled-explanation'); var submitButton = document.getElementById('submit_button'); if (submitButton != null) { submitButton.disabled = true; if (explanation != null) { explanation.style.display = 'block'; } } } }); </script> <script type="text/javascript"> document.addEventListener("FA__DOMContentLoaded", function(){ const FORM_TIME_START = Math.floor((new Date).getTime()/1000); let formElement = document.getElementById("tfa_0"); if (null === formElement) { formElement = document.getElementById("0"); } let appendJsTimerElement = function(){ let formTimeDiff = Math.floor((new Date).getTime()/1000) - FORM_TIME_START; let cumulatedTimeElement = document.getElementById("tfa_dbCumulatedTime"); if (null !== cumulatedTimeElement) { let cumulatedTime = parseInt(cumulatedTimeElement.value); if (null !== cumulatedTime && cumulatedTime > 0) { formTimeDiff += cumulatedTime; } } let jsTimeInput = document.createElement("input"); jsTimeInput.setAttribute("type", "hidden"); jsTimeInput.setAttribute("value", formTimeDiff.toString()); jsTimeInput.setAttribute("name", "tfa_dbElapsedJsTime"); jsTimeInput.setAttribute("id", "tfa_dbElapsedJsTime"); jsTimeInput.setAttribute("autocomplete", "off"); if (null !== formElement) { formElement.appendChild(jsTimeInput); } }; if (null !== formElement) { if(formElement.addEventListener){ formElement.addEventListener('submit', appendJsTimerElement, false); } else if(formElement.attachEvent){ formElement.attachEvent('onsubmit', appendJsTimerElement); } } }); </script> <link href="https://arci.tfaforms.net/dist/form-builder/5.0.0/wforms-layout.css?v=cce090a370aef980bf1ffc5ccb5c9b9185cbd8b1" rel="stylesheet" type="text/css" /> <link href="https://arci.tfaforms.net/uploads/themes/theme-23.css" rel="stylesheet" type="text/css" /> <link href="https://arci.tfaforms.net/dist/form-builder/5.0.0/wforms-jsonly.css?v=cce090a370aef980bf1ffc5ccb5c9b9185cbd8b1" rel="alternate stylesheet" title="This stylesheet activated by javascript" type="text/css" /> <script type="text/javascript" src="https://arci.tfaforms.net/wForms/3.11/js/wforms.js?v=cce090a370aef980bf1ffc5ccb5c9b9185cbd8b1"></script> <script type="text/javascript"> if(wFORMS.behaviors.prefill) wFORMS.behaviors.prefill.skip = true; </script> <script type="text/javascript" src="https://arci.tfaforms.net/wForms/3.11/js/localization-en_US.js?v=cce090a370aef980bf1ffc5ccb5c9b9185cbd8b1"></script> <script> var FAoldJQ; if (typeof $ != 'undefined' && $.noConflict) FAoldJQ = $.noConflict(true); </script> <script src="https://arci.tfaforms.net/dist/jquery/jquery.0416573c648d279fd758.js"></script> <script src="https://arci.tfaforms.net/js/typeahead/v1.2.0/typeahead.bundle.js"></script> <script> var FA$ = $.noConflict(true); if (FAoldJQ) $ = FAoldJQ; </script> <link href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.4.0/css/font-awesome.min.css" rel="stylesheet" type="text/css" />  <div class="wFormContainer" style="max-width: 100%; width: auto;"> <div class="wFormHeader"></div> <style type="text/css"> #tfa_305-L, label[id^="tfa_305["] { width: 144px !important; min-width: 0px; } #tfa_317-L, label[id^="tfa_317["] { width: 204px !important; min-width: 0px; } #tfa_267, *[id^="tfa_267["] { width: 100% !important; } #tfa_267-D, *[id^="tfa_267["][class~="field-container-D"] { width: auto !important; } #tfa_267, *[id^="tfa_267["] { height: 100px !important } #tfa_267-D, *[id^="tfa_267["][class~="field-container-D"] { height: auto !important; } #tfa_267-L, label[id^="tfa_267["], *[id^="tfa_267["][id$="-L"] { height: auto !important; } </style><div class=""><div class="wForm" id="20-WRPR" data-language="en_US" dir="ltr"> <div class="codesection" id="code-20"></div> <h3 class="wFormTitle" data-testid="form-title" id="20-T">Participate in Research & Advocacy</h3> <form method="post" action="https://arci.tfaforms.net/api_v2/rest/workflow/processor" class="hintsBelow labelsAbove" id="20"> <div class="wfPage" id="wfPgIndex-1"><div class="section pageSection" id="tfa_286"><div id="tfa_4" class="section group"> <div id="tfa_100" class="section inline group"> <div class="oneField field-container-D " id="tfa_7-D"> <label id="tfa_7-L" class="label preField reqMark" for="tfa_7">First Name</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_7" name="tfa_7" value="" autocomplete="given-name" title="First Name" class="required"></div> </div> <div class="oneField field-container-D " id="tfa_9-D"> <label id="tfa_9-L" class="label preField reqMark" for="tfa_9">Last Name</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_9" name="tfa_9" value="" autocomplete="family-name" title="Last Name" class="required"></div> </div> </div> <div id="tfa_268" class="section inline group"> <div class="oneField field-container-D " id="tfa_11-D"> <label id="tfa_11-L" class="label preField reqMark" for="tfa_11">Email</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_11" name="tfa_11" value="" autocomplete="email" title="Email" class="validate-email required"></div> </div> <div class="oneField field-container-D " id="tfa_13-D"> <label id="tfa_13-L" class="label preField " for="tfa_13">Phone number</label><br><div class="inputWrapper"><input type="text" id="tfa_13" name="tfa_13" value="" autocomplete="tel" min="1111111111" max="9999999999" title="Phone number" class=""></div> </div> </div> <div class="oneField field-container-D " id="tfa_167-D" role="group" aria-labelledby="tfa_167-L" data-tfa-labelledby="-L tfa_167-L"> <label id="tfa_167-L" class="label preField " data-tfa-check-label-for="tfa_167">I'd like to participate in the following as they become available:</label><br><div class="inputWrapper"><span id="tfa_167" class="choices vertical "><span class="oneChoice"><input type="checkbox" value="tfa_173" class="" id="tfa_173" name="tfa_173" aria-labelledby="tfa_173-L" data-tfa-labelledby="tfa_167-L tfa_173-L" data-tfa-parent-id="tfa_167"><label class="label postField" id="tfa_173-L" for="tfa_173"><span class="input-checkbox-faux"></span>ARC Surveys</label></span><span class="oneChoice"><input type="checkbox" value="tfa_169" class="" id="tfa_169" name="tfa_169" aria-labelledby="tfa_169-L" data-tfa-labelledby="tfa_167-L tfa_169-L" data-tfa-parent-id="tfa_167"><label class="label postField" id="tfa_169-L" for="tfa_169"><span class="input-checkbox-faux"></span>Focus Groups & Patient Panels</label></span><span class="oneChoice"><input type="checkbox" value="tfa_170" class="" id="tfa_170" name="tfa_170" aria-labelledby="tfa_170-L" data-tfa-labelledby="tfa_167-L tfa_170-L" data-tfa-parent-id="tfa_167"><label class="label postField" id="tfa_170-L" for="tfa_170"><span class="input-checkbox-faux"></span>Other Research Opportunities</label></span><span class="oneChoice"><input type="checkbox" value="tfa_168" class="" id="tfa_168" name="tfa_168" aria-labelledby="tfa_168-L" data-tfa-labelledby="tfa_167-L tfa_168-L" data-tfa-parent-id="tfa_167"><label class="label postField" id="tfa_168-L" for="tfa_168"><span class="input-checkbox-faux"></span>Advocacy</label></span></span></div> </div> <div id="tfa_291" class="section group"> <div class="oneField field-container-D " id="tfa_292-D" role="group" aria-labelledby="tfa_292-L" data-tfa-labelledby="-L tfa_292-L"> <label id="tfa_292-L" class="label preField reqMark" data-tfa-check-label-for="tfa_292" aria-label="I am a... required">I am a...</label><br><div class="inputWrapper"><span id="tfa_292" class="choices horizontal required"><span class="oneChoice"><input type="checkbox" value="tfa_293" class="" id="tfa_293" name="tfa_293" data-conditionals="#tfa_305,#tfa_237,#tfa_208" aria-labelledby="tfa_293-L" data-tfa-labelledby="tfa_292-L tfa_293-L" data-tfa-parent-id="tfa_292"><label class="label postField" id="tfa_293-L" for="tfa_293"><span class="input-checkbox-faux"></span>Patient</label></span><span class="oneChoice"><input type="checkbox" value="tfa_294" class="" id="tfa_294" name="tfa_294" data-conditionals="#tfa_305,#tfa_317,#tfa_208" aria-labelledby="tfa_294-L" data-tfa-labelledby="tfa_292-L tfa_294-L" data-tfa-parent-id="tfa_292"><label class="label postField" id="tfa_294-L" for="tfa_294"><span class="input-checkbox-faux"></span>Potential Patient</label></span><span class="oneChoice"><input type="checkbox" value="tfa_295" class="" id="tfa_295" name="tfa_295" data-conditionals="#tfa_305,#tfa_317,#tfa_208" aria-labelledby="tfa_295-L" data-tfa-labelledby="tfa_292-L tfa_295-L" data-tfa-parent-id="tfa_292"><label class="label postField" id="tfa_295-L" for="tfa_295"><span class="input-checkbox-faux"></span>Caregiver</label></span><span class="oneChoice"><input type="checkbox" value="tfa_296" class="" id="tfa_296" name="tfa_296" data-conditionals="#tfa_305,#tfa_317" aria-labelledby="tfa_296-L" data-tfa-labelledby="tfa_292-L tfa_296-L" data-tfa-parent-id="tfa_292"><label class="label postField" id="tfa_296-L" for="tfa_296"><span class="input-checkbox-faux"></span>Patient Family/Friend</label></span><span class="oneChoice"><input type="checkbox" value="tfa_331" class="" id="tfa_331" name="tfa_331" aria-labelledby="tfa_331-L" data-tfa-labelledby="tfa_292-L tfa_331-L" data-tfa-parent-id="tfa_292"><label class="label postField" id="tfa_331-L" for="tfa_331"><span class="input-checkbox-faux"></span>Loved One of Patient Who Passed</label></span><span class="oneChoice"><input type="checkbox" value="tfa_297" class="" id="tfa_297" name="tfa_297" aria-labelledby="tfa_297-L" data-tfa-labelledby="tfa_292-L tfa_297-L" data-tfa-parent-id="tfa_292"><label class="label postField" id="tfa_297-L" for="tfa_297"><span class="input-checkbox-faux"></span>Nurse</label></span><span class="oneChoice"><input type="checkbox" value="tfa_298" class="" id="tfa_298" name="tfa_298" aria-labelledby="tfa_298-L" data-tfa-labelledby="tfa_292-L tfa_298-L" data-tfa-parent-id="tfa_292"><label class="label postField" id="tfa_298-L" for="tfa_298"><span class="input-checkbox-faux"></span>Clinician</label></span><span class="oneChoice"><input type="checkbox" value="tfa_299" class="" id="tfa_299" name="tfa_299" aria-labelledby="tfa_299-L" data-tfa-labelledby="tfa_292-L tfa_299-L" data-tfa-parent-id="tfa_292"><label class="label postField" id="tfa_299-L" for="tfa_299"><span class="input-checkbox-faux"></span>Scientist</label></span><span class="oneChoice"><input type="checkbox" value="tfa_302" class="" id="tfa_302" name="tfa_302" data-conditionals="#tfa_304" aria-labelledby="tfa_302-L" data-tfa-labelledby="tfa_292-L tfa_302-L" data-tfa-parent-id="tfa_292"><label class="label postField" id="tfa_302-L" for="tfa_302"><span class="input-checkbox-faux"></span>Other</label></span></span></div> </div> <div id="tfa_303" class="section inline group"> <div class="oneField field-container-D " id="tfa_304-D"> <label id="tfa_304-L" class="label preField " for="tfa_304">If other, please describe:</label><br><div class="inputWrapper"><input type="text" id="tfa_304" name="tfa_304" value="" data-condition="`#tfa_302`" title="If other, please describe:" class=""></div> </div> <div class="oneField field-container-D " id="tfa_305-D"> <label id="tfa_305-L" class="label preField reqMark" for="tfa_305">Amyloidosis Type</label><br><div class="inputWrapper"><select aria-required="true" id="tfa_305" autocomplete="off" name="tfa_305" data-condition="`#tfa_293` AND NOT (`#tfa_294`) AND NOT (`#tfa_295`) AND NOT (`#tfa_296`)" title="Amyloidosis Type" class="required"><option value="">Please select...</option> <option value="tfa_306" id="tfa_306" class="">AA</option> <option value="tfa_307" id="tfa_307" class="">AL Amyloidosis</option> <option value="tfa_308" id="tfa_308" class="">AB2M</option> <option value="tfa_309" id="tfa_309" class="">ALect2</option> <option value="tfa_310" id="tfa_310" data-conditionals="#tfa_330" class="">Hereditary ATTR</option> <option value="tfa_311" id="tfa_311" data-conditionals="#tfa_330" class="">Hereditary Non-TTR</option> <option value="tfa_312" id="tfa_312" class="">Hereditary Untyped</option> <option value="tfa_313" id="tfa_313" class="">Localized</option> <option value="tfa_314" id="tfa_314" class="">Wild-Type ATTR</option> <option value="tfa_315" id="tfa_315" class="">Untyped</option> <option value="tfa_316" id="tfa_316" data-conditionals="#tfa_329" class="">Other</option></select></div> </div> <div class="oneField field-container-D " id="tfa_317-D"> <label id="tfa_317-L" class="label preField " for="tfa_317">Amyloidosis Type (if known)</label><br><div class="inputWrapper"><select id="tfa_317" autocomplete="off" name="tfa_317" data-condition="`#tfa_294` OR `#tfa_295` OR `#tfa_296`" title="Amyloidosis Type (if known)" class=""><option value="">Please select...</option> <option value="tfa_318" id="tfa_318" class="">AA</option> <option value="tfa_319" id="tfa_319" class="">AL Amyloidosis</option> <option value="tfa_320" id="tfa_320" class="">AB2M</option> <option value="tfa_321" id="tfa_321" class="">ALect2</option> <option value="tfa_322" id="tfa_322" data-conditionals="#tfa_330" class="">Hereditary ATTR</option> <option value="tfa_323" id="tfa_323" data-conditionals="#tfa_330" class="">Hereditary Non-TTR</option> <option value="tfa_324" id="tfa_324" class="">Hereditary Untyped</option> <option value="tfa_325" id="tfa_325" class="">Localized</option> <option value="tfa_326" id="tfa_326" class="">Wild-Type ATTR</option> <option value="tfa_327" id="tfa_327" class="">Untyped</option> <option value="tfa_328" id="tfa_328" data-conditionals="#tfa_329" class="">Other</option></select></div> </div> <div class="oneField field-container-D " id="tfa_329-D"> <label id="tfa_329-L" class="label preField " for="tfa_329">If other type, please explain:</label><br><div class="inputWrapper"><input type="text" id="tfa_329" name="tfa_329" value="" data-condition="`#tfa_316` OR `#tfa_328`" title="If other type, please explain:" class=""></div> </div> <div class="oneField field-container-D " id="tfa_330-D"> <label id="tfa_330-L" class="label preField " for="tfa_330">Variant (if known)</label><br><div class="inputWrapper"> <input type="text" id="tfa_330" name="tfa_330" value="" autocomplete="off" aria-describedby="tfa_330-HH" data-condition="`#tfa_310` OR `#tfa_322` OR `#tfa_311` OR `#tfa_323`" title="Variant (if known)" class=""><span class="field-hint-inactive" id="tfa_330-H"><span id="tfa_330-HH" class="hint">Should be in the format "Abc12Abc", ex: Val30Met</span></span> </div> </div> </div> </div> <div id="tfa_156" class="section inline group"> <div class="oneField field-container-D " id="tfa_237-D"> <label id="tfa_237-L" class="label preField " for="tfa_237">Year of Diagnosis</label><br><div class="inputWrapper"><input type="text" id="tfa_237" name="tfa_237" value="" maxlength="4" data-condition="`#tfa_293`" title="Year of Diagnosis" class="validate-alphanum"></div> </div> <div class="oneField field-container-D " id="tfa_238-D"> <label id="tfa_238-L" class="label preField " for="tfa_238">Birthday</label><br><div class="inputWrapper"> <input type="text" id="tfa_238" name="tfa_238" value="" autocomplete="bday" aria-describedby="tfa_238-HH" min="1800" max="2023" title="Birthday" class="validate-date calc-birthday"><span class="field-hint-inactive" id="tfa_238-H"><span id="tfa_238-HH" class="hint">(In mm/dd/yyyy format, please.)</span></span> </div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_239-D"> <label id="tfa_239-L" class="label preField " for="tfa_239">Birth Year</label><br><div class="inputWrapper"><input type="text" id="tfa_239" name="tfa_239" value="" readonly title="Birth Year" class="formula=birthday.substring(birthday.length-4); readonly"></div> </div> </div> <div class="oneField field-container-D " id="tfa_431-D"> <label id="tfa_431-L" class="label preField " for="tfa_431">Please list any non-English languages you speak</label><br><div class="inputWrapper"><input type="text" id="tfa_431" name="tfa_431" value="" title="Please list any non-English languages you speak" class=""></div> </div> <div class="oneField field-container-D " id="tfa_208-D" role="group" aria-labelledby="tfa_208-L" data-tfa-labelledby="-L tfa_208-L"> <label id="tfa_208-L" class="label preField " data-tfa-check-label-for="tfa_208">Are any of the following symptoms present:</label><br><div class="inputWrapper"><span id="tfa_208" class="choices vertical " data-condition="`#tfa_293` OR `#tfa_294` OR `#tfa_295`"><span class="oneChoice"><input type="checkbox" value="tfa_209" class="" id="tfa_209" name="tfa_209" aria-labelledby="tfa_209-L" data-tfa-labelledby="tfa_208-L tfa_209-L" data-tfa-parent-id="tfa_208"><label class="label postField" id="tfa_209-L" for="tfa_209"><span class="input-checkbox-faux"></span><span style="color: rgb(32, 33, 36); font-family: Roboto, Arial, sans-serif; font-size: 14.6667px; white-space-collapse: preserve;">Nerve symptoms (neuropathy)</span></label></span><span class="oneChoice"><input type="checkbox" value="tfa_210" class="" id="tfa_210" name="tfa_210" aria-labelledby="tfa_210-L" data-tfa-labelledby="tfa_208-L tfa_210-L" data-tfa-parent-id="tfa_208"><label class="label postField" id="tfa_210-L" for="tfa_210"><span class="input-checkbox-faux"></span><span style="color: rgb(32, 33, 36); font-family: Roboto, Arial, sans-serif; font-size: 14.6667px; white-space-collapse: preserve;">Cardiac symptoms (cardiomyopathy)</span></label></span><span class="oneChoice"><input type="checkbox" value="tfa_211" class="" id="tfa_211" name="tfa_211" aria-labelledby="tfa_211-L" data-tfa-labelledby="tfa_208-L tfa_211-L" data-tfa-parent-id="tfa_208"><label class="label postField" id="tfa_211-L" for="tfa_211"><span class="input-checkbox-faux"></span><span style="color: rgb(32, 33, 36); font-family: Roboto, Arial, sans-serif; font-size: 14.6667px; white-space-collapse: preserve;">Renal (kidney) symptoms</span></label></span><span class="oneChoice"><input type="checkbox" value="tfa_212" class="" id="tfa_212" name="tfa_212" aria-labelledby="tfa_212-L" data-tfa-labelledby="tfa_208-L tfa_212-L" data-tfa-parent-id="tfa_208"><label class="label postField" id="tfa_212-L" for="tfa_212"><span class="input-checkbox-faux"></span><span style="color: rgb(32, 33, 36); font-family: Roboto, Arial, sans-serif; font-size: 14.6667px; white-space-collapse: preserve;">Gastrointestinal (GI) symptoms</span></label></span></span></div> </div> </div></div></div> <div class="wfPage" id="wfPgIndex-2"><div class="section pageSection" id="tfa_287"> <h4 id="tfa_287-T">Additional Information</h4> <div class="htmlSection" id="tfa_272"><div class="htmlContent" id="tfa_272-HTML"><i>Address details help us build future programs to better fit our community. Your information will not be shared.</i></div></div> <div id="tfa_285" class="section inline group"> <div class="oneField field-container-D " id="tfa_277-D"> <label id="tfa_277-L" class="label preField " for="tfa_277">Address Line 1</label><br><div class="inputWrapper"> <input type="text" id="tfa_277" name="tfa_277" value="" autocomplete="no-address-autocomplete" title="Address Line 1" data-dataset-allow-free-responses="0" data-dataset-clear-cache="" data-dataset-timestamp="1711377926" data-dataset-id="e4ee1856-e9c3-4de1-9ffc-1ea5dd3fa7a1" data-dataset-map="b=tfa_280,c=tfa_283,d=tfa_281,e=tfa_284," data-dataset-type="address-autocomplete" data-dataset-url="https://arci.tfaforms.net/api_v2/datasets" class="wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <div class="oneField field-container-D " id="tfa_278-D"> <label id="tfa_278-L" class="label preField " for="tfa_278">Address Line 2</label><br><div class="inputWrapper"><input type="text" id="tfa_278" name="tfa_278" value="" autocomplete="address-line2" title="Address Line 2" class=""></div> </div> </div> <div id="tfa_279" class="section inline group"> <div class="oneField field-container-D " id="tfa_280-D"> <label id="tfa_280-L" class="label preField " for="tfa_280">City/Town</label><br><div class="inputWrapper"><input type="text" id="tfa_280" name="tfa_280" value="" title="City/Town" class=""></div> </div> <div class="oneField field-container-D " id="tfa_281-D"> <label id="tfa_281-L" class="label preField " for="tfa_281">State/Province</label><br><div class="inputWrapper"><input type="text" id="tfa_281" name="tfa_281" value="" title="State/Province" class=""></div> </div> <div id="tfa_282" class="section inline group"> <div class="oneField field-container-D " id="tfa_283-D"> <label id="tfa_283-L" class="label preField " for="tfa_283">Postal Code</label><br><div class="inputWrapper"><input type="text" id="tfa_283" name="tfa_283" value="" autocomplete="postal-code" title="Postal Code" class="validate-alphanum"></div> </div> <div class="oneField field-container-D " id="tfa_284-D"> <label id="tfa_284-L" class="label preField " for="tfa_284">Country</label><br><div class="inputWrapper"><input type="text" id="tfa_284" name="tfa_284" value="" autocomplete="country-name" title="Country" class=""></div> </div> </div> </div> <div class="oneField field-container-D " id="tfa_267-D"> <label id="tfa_267-L" class="label preField " for="tfa_267">Please provide any additional information you feel might be helpful for us to know (If applicable: treatments received, resources that have been helpful to you, clinical trial experience or interest level, etc.)</label><br><div class="inputWrapper"><textarea cols="100%" rows="100px" id="tfa_267" name="tfa_267" title="Please provide any additional information you feel might be helpful for us to know (If applicable: treatments received, resources that have been helpful to you, clinical trial experience or interest level, etc.)" class=""></textarea></div> </div> <div id="tfa_414" class="section inline group"> <div class="oneField field-container-D " id="tfa_415-D"> <label id="tfa_415-L" class="label preField " for="tfa_415">How Did You Hear About ARC?</label><br><div class="inputWrapper"><select id="tfa_415" name="tfa_415" title="How Did You Hear About ARC?" class=""><option value="">Please select...</option> <option value="tfa_416" id="tfa_416" class="">Web Search (Google, etc.)</option> <option value="tfa_417" id="tfa_417" data-conditionals="#tfa_429" class="">Referral from Healthcare Provider</option> <option value="tfa_418" id="tfa_418" data-conditionals="#tfa_424" class="">Social Media</option> <option value="tfa_419" id="tfa_419" data-conditionals="#tfa_430" class="">Patient Support Group or Patient Advocate</option> <option value="tfa_420" id="tfa_420" class="">Friend or Family Member</option> <option value="tfa_421" id="tfa_421" class="">Colleague or Employer</option> <option value="tfa_422" id="tfa_422" data-conditionals="#tfa_423" class="">Other</option></select></div> </div> <div class="oneField field-container-D " id="tfa_423-D"> <label id="tfa_423-L" class="label preField " for="tfa_423">Please tell us how you heard about ARC:</label><br><div class="inputWrapper"><input type="text" id="tfa_423" name="tfa_423" value="" autocomplete="off" data-condition="`#tfa_422`" title="Please tell us how you heard about ARC:" class=""></div> </div> <div class="oneField field-container-D " id="tfa_424-D"> <label id="tfa_424-L" class="label preField " for="tfa_424">Please specify which social media site you found us on:</label><br><div class="inputWrapper"> <select id="tfa_424" name="tfa_424" data-condition="`#tfa_418`" title="Please specify which social media site you found us on:" aria-describedby="tfa_424-HH" class=""><option value="">Please select...</option> <option value="tfa_425" id="tfa_425" class="">Facebook</option> <option value="tfa_426" id="tfa_426" class="">LinkedIn</option> <option value="tfa_427" id="tfa_427" class="">Twitter (X)</option> <option value="tfa_428" id="tfa_428" class="">YouTube</option></select><span class="field-hint-inactive" id="tfa_424-H"><span id="tfa_424-HH" class="hint">Knowing which social media site you found us on helps us tailor our efforts and better connect with others.</span></span> </div> </div> <div class="oneField field-container-D " id="tfa_429-D"> <label id="tfa_429-L" class="label preField " for="tfa_429">Please specify the healthcare provider/clinic who referred you (optional):</label><br><div class="inputWrapper"> <input type="text" id="tfa_429" name="tfa_429" value="" autocomplete="off" aria-describedby="tfa_429-HH" data-condition="`#tfa_417`" title="Please specify the healthcare provider/clinic who referred you (optional):" class=""><span class="field-hint-inactive" id="tfa_429-H"><span id="tfa_429-HH" class="hint">If a doctor or clinic helped, please share their name. It helps us track connections and show our appreciation!</span></span> </div> </div> <div class="oneField field-container-D " id="tfa_430-D"> <label id="tfa_430-L" class="label preField " for="tfa_430">Please specify the support group or patient advocate who referred you (optional):</label><br><div class="inputWrapper"> <input type="text" id="tfa_430" name="tfa_430" value="" autocomplete="off" aria-describedby="tfa_430-HH" data-condition="`#tfa_419`" title="Please specify the support group or patient advocate who referred you (optional):" class=""><span class="field-hint-inactive" id="tfa_430-H"><span id="tfa_430-HH" class="hint">If a group or patient advocate helped, please share their name. It helps us track connections and show our appreciation!</span></span> </div> </div> </div> </div></div> <div class="actions" id="20-A" data-contentid="submit_button"> <div id="google-captcha" style="display: none"> <br><div class="captcha"> <div class="oneField"> <div class="g-recaptcha" id="g-recaptcha-render-div"></div> <div class="g-captcha-error"></div> <br> </div> <div class="captchaHelp">reCAPTCHA helps prevent automated form spam.<br> </div> <div id="disabled-explanation" class="captchaHelp" style="display: none">The submit button will be disabled until you complete the CAPTCHA.</div> </div> </div> <input type="submit" data-label="Submit" class="primaryAction" id="submit_button" value="Submit"> </div> <div style="clear:both"></div> <input type="hidden" value="955-3b0bb7e034e6296adf0a13d26d223917" name="tfa_dbCounters" id="tfa_dbCounters" autocomplete="off"><input type="hidden" value="20" name="tfa_dbFormId" id="tfa_dbFormId"><input type="hidden" value="" name="tfa_dbResponseId" id="tfa_dbResponseId"><input type="hidden" value="2b75d01b4e8c235347aa852af0380a78" name="tfa_dbControl" id="tfa_dbControl"><input type="hidden" value="" name="tfa_dbWorkflowSessionUuid" id="tfa_dbWorkflowSessionUuid"><input type="hidden" value="1732405248" name="tfa_dbTimeStarted" id="tfa_dbTimeStarted" autocomplete="off"><input type="hidden" value="25" name="tfa_dbVersionId" id="tfa_dbVersionId"><input type="hidden" value="" name="tfa_switchedoff" id="tfa_switchedoff"> </form> </div></div><div class="wFormFooter"><p class="supportInfo"><br></p></div> <p class="supportInfo" > </p> </div> </div> </div> </div> </div> <div class="block-full-width-text "> <div class="container"> <div class="row"> <div class="col-lg-12"> <h4>Participate in a Clinical Trial (MAP)</h4> <p>Clinical trials and research studies are critically important and necessary to develop new amyloidosis treatments and better understand the disease. The more people who participate, the faster we can find the answers we need.</p> <p>Learn about our amyloidosis clinical trial finder tool and read more information about MAP:</p> <p><a href="https://arciorg.wpengine.com/patients-and-caregivers/treatment-centers-clinical-trials/">Read More →</a></p> </div> </div> </div> </div> </div> <script type="text/javascript" src="https://www.google.com/recaptcha/api.js?hl=en"></script> <footer id="colophon" class="site-footer"> <div class="container width-100sm"> <div class="row"> <div class="col-md-10 offset-md-1"> <div class="row">  <div class="col-sm-4 vert-line"> <a href="https://arci.org/events/" title="Events"> <img src="https://arci.org/wp-content/uploads/2024/07/Calendar-icon-orange.svg" alt="" /> <p class="titles"> Events </p> <p class="sub-text"> Check out upcoming conferences, webinars and fundraisers </p> </a> </div> <div class="col-sm-4 vert-line"> <a href="https://arci.org/patients-and-caregivers/treatment-centers-clinical-trials/" title="My Amyloidosis Pathfinder"> <img src="https://arci.org/wp-content/uploads/2018/06/Resources-icon.svg" alt="" /> <p class="titles"> My Amyloidosis Pathfinder </p> <p class="sub-text"> Find personalized treatment centers and clinical trials </p> </a> </div> <div class="col-sm-4 vert-line"> <a href="https://arci.org/researchers-and-healthcare-professionals/resources/" title="Resources"> <img src="https://arci.org/wp-content/uploads/2018/06/Publications-icon.svg" alt="" /> <p class="titles"> Resources </p> <p class="sub-text"> View ARC's library of resources and publications </p> </a> </div> </div> </div> </div> <div class="row newsletter"> <div class="col-12"> <p>Get the latest amyloidosis news and research from ARC.</p> <a href="https://arci.org/newsletter/" title="Join our newsletter">Join our newsletter</a> </div> </div> <div class="row socials"> <div class="col-12"> <ul> <li> <a href="https://www.facebook.com/amyloidosisresearchconsortium" target="_blank"> <i class="fa fa-facebook" aria-hidden="true"></i> </a> </li> <li> <a href="https://twitter.com/Amyloidosis_ARC" target="_blank"> <i class="fa fa-twitter" aria-hidden="true"></i> </a> </li> <li> <a href="https://www.youtube.com/channel/UCD_A4cq_YW4ggWTzlJygJvg" target="_blank"> <i class="fa fa-youtube" aria-hidden="true"></i> </a> </li> <li> <a href="mailto:arc@arci.org" title="email"> <i class="fa fa-envelope-o" aria-hidden="true"></i> </a> </li> </ul> </div> </div> </div> </footer> <div class="container footer2"> <div class="row"> <div class="col-12"> <img src="https://arci.org/wp-content/themes/arc/img/logo-footer.png" alt="" /> <div class="menu-footer-container"><ul id="menu-footer" class="menu"><li id="menu-item-1730" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1730"><a href="https://arci.org/donate/">Donate</a></li> <li id="menu-item-99" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-99"><a href="https://arci.org/privacy/">Privacy</a></li> </ul></div> <p class="uppercase">AMYLOIDOSIS RESEARCH CONSORTIUM, INC.<br> 320 Nevada Street, Suite 210 Newton, MA 02460 USA | 617-467-5170<br> <a href="mailto:arc@arci.org" title="email arc@arci.org">arc@arci.org</a></p> <p>ARC is a 501(c)(3) nonprofit organization. Tax ID: 47-2589708<br />©2024 ARC – Amyloidosis Research Consortium, Inc. All rights reserved. </p>  <a href="https://www.guidestar.org/profile/47-2589708" target="_blank"><img src="https://widgets.guidestar.org/TransparencySeal/9462745" alt="Guidestar Platinum Transparency 2023" /></a> <a href="https://greatnonprofits.org/org/amyloidosis-research-consortium-inc" target="_blank"><img src="https://arci.org/wp-content/themes/arc/img/2021-top-rated-awards-badge.png" alt="2021 Top Rated Great Non Profits" /></a> <a href="https://www.charitynavigator.org/ein/472589708" target="_blank" ><img src="https://arci.org/wp-content/themes/arc/img/four-star-rating-badge-charity-navigator.png" alt="Charity Navigator Four-Star Rating" /></a> </div> </div> </div> </div> <script type="text/javascript" src="https://arci.org/wp-includes/js/dist/hooks.min.js?ver=2810c76e705dd1a53b18" id="wp-hooks-js"></script> <script type="text/javascript" src="https://arci.org/wp-includes/js/dist/i18n.min.js?ver=5e580eb46a90c2b997e6" id="wp-i18n-js"></script> <script type="text/javascript" id="wp-i18n-js-after"> /* <![CDATA[ */ wp.i18n.setLocaleData( { 'text direction\u0004ltr': [ 'ltr' ] } ); /* ]]> */ </script> <script type="text/javascript" src="https://arci.org/wp-content/plugins/contact-form-7/includes/swv/js/index.js?ver=6.0" id="swv-js"></script> <script type="text/javascript" id="contact-form-7-js-before"> /* <![CDATA[ */ var wpcf7 = { "api": { "root": "https:\/\/arci.org\/wp-json\/", "namespace": "contact-form-7\/v1" }, "cached": 1 }; /* ]]> */ </script> <script type="text/javascript" src="https://arci.org/wp-content/plugins/contact-form-7/includes/js/index.js?ver=6.0" id="contact-form-7-js"></script> <script type="text/javascript" src="https://arci.org/wp-content/themes/arc/js/navigation.js?ver=20151215" id="alan-navigation-js"></script> <script type="text/javascript" src="https://arci.org/wp-content/themes/arc/js/skip-link-focus-fix.js?ver=20151215" id="alan-skip-link-focus-fix-js"></script> <script type="text/javascript" src="https://arci.org/wp-content/themes/arc/js/jquery.matchHeight-min.js?ver=1.0" id="matchheights-js"></script> <script type="text/javascript" src="https://maps.googleapis.com/maps/api/js?key=AIzaSyCF1RAV3Sl3SWwBb3AHXXBPtgjKG1Uxlro&ver=1.0" id="google_maps-js"></script> <script type="text/javascript" src="https://cdnjs.cloudflare.com/ajax/libs/tether/1.4.0/js/tether.min.js?ver=1.0" id="tether-js-js"></script> <script type="text/javascript" src="https://maxcdn.bootstrapcdn.com/bootstrap/4.0.0/js/bootstrap.min.js?ver=1.0" id="bootstrap-js-js"></script> <script type="text/javascript" src="https://arci.org/wp-content/themes/arc/js/main.min.js?ver=1.0" id="custom-scripts-js"></script> <script type="text/javascript" src="https://arci.org/wp-content/themes/arc/js/arc-custom-scripts.js?ver=1.0" id="arc-custom-scripts-js"></script> <script type="text/javascript" src="https://arci.org/wp-content/plugins/page-links-to/dist/new-tab.js?ver=3.3.7" id="page-links-to-js"></script> <script type="text/javascript" src="https://www.google.com/recaptcha/api.js?render=6LcanacUAAAAAOdAYNusUAA1KtnZVVdF0-vYY5Ad&ver=3.0" id="google-recaptcha-js"></script> <script type="text/javascript" src="https://arci.org/wp-includes/js/dist/vendor/wp-polyfill.min.js?ver=3.15.0" id="wp-polyfill-js"></script> <script type="text/javascript" id="wpcf7-recaptcha-js-before"> /* <![CDATA[ */ var wpcf7_recaptcha = { "sitekey": "6LcanacUAAAAAOdAYNusUAA1KtnZVVdF0-vYY5Ad", "actions": { "homepage": "homepage", "contactform": "contactform" } }; /* ]]> */ </script> <script type="text/javascript" src="https://arci.org/wp-content/plugins/contact-form-7/modules/recaptcha/index.js?ver=6.0" id="wpcf7-recaptcha-js"></script>  <div class="modal fade" id="myModal" role="dialog"> <div class="modal-dialog">  <div class="modal-content"> <div class="modal-header" style="padding: 7px 14px 0px 0px;border-bottom:none;"> <button type="button" class="close" data-dismiss="modal">×</button> </div> <div class="modal-body"> <div class="newsletter-page"> <div class="container"> <div class=""> <div class=""> <div class="main-content"> <div class="" style="color:#093D5C;text-align: center;font-family:'Open Sans';font-size: 18px;font-weight: normal;line-height: 1.3;">Join our email list to stay up to date on the latest Amyloidosis news.</div> <style> .reqdFlag { color: #FF0000; margin-left: 3px; font-size: 18px; } input[type="text"] { width: 100%; padding: 6px 10px; margin: 2px 0; box-sizing: border-box; border: 2px solid #d0d0d0 !important; border-radius: 3px; } select { width: 100%; padding: 6px 10px; margin: 2px 0; box-sizing: border-box; border: 2px solid #d0d0d0 !important; border-radius: 3px; } td { padding-top: 10px; } .formFieldReqd { background-color: #ffcece; border-color: #ff0000; } </style> <script language="javascript"> function formVal(){ var reqdFieldCount = 4; var curFieldCount = 0; var reqFields = ['first_name','last_name','email','00N1I00000M2uS1']; var recaptcha_done = checkRecaptcha(); for(i=0; i<4; i++){ var thisFld = reqFields[i]; if(document.getElementById(thisFld).value != ''){ curFieldCount++; document.getElementById(thisFld).className = ''; }else{ document.getElementById(thisFld).className = 'formFieldReqd'; } } if(curFieldCount != reqdFieldCount){ alert('Please complete the required, highlighted fields. Thank you for your interest!'); return false; } else { if(recaptcha_done === false) { console.log('no recaptacha'); var recap = document.getElementById('g-recaptcha'); recap.classList.add('error'); return false; } else { return true; } } } function checkRecaptcha() { var response = grecaptcha.getResponse(); if(response.length == 0) { return false; } else { return true; } } function setRecaptcha() { var recap = document.getElementById('g-recaptcha'); recap.classList.remove('error'); } </script> <script> function timestamp() { var response = document.getElementById("g-recaptcha-response"); if (response == null || response.value.trim() == "") {var elems = JSON.parse(document.getElementsByName("captcha_settings")[0].value);elems["ts"] = JSON.stringify(new Date().getTime());document.getElementsByName("captcha_settings")[0].value = JSON.stringify(elems); } } setInterval(timestamp, 500); </script> <form action="https://webto.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8" method="POST" onsubmit="return formVal();"> <input type=hidden name="oid" value="00D1I000003Hb0C"> <input type=hidden name="retURL" value="https://arci.org/subscription-confirmation/"> <input type="hidden" id="lead_source" name="lead_source" value="Web"/> <input type="hidden" id="00N1I00000M2uS3" name="00N1I00000M2uS3" value="Newsletter Subscribe"/> <input type=hidden name='captcha_settings' value='{"keyname":"Google_Recaptcha_New","fallback":"true","orgId":"00D1I000003Hb0C","ts":""}'> <div class="formDiv"> <table align="center"> <tr> <td> <label for="first_name" class="formLabel">First Name</label><span class="formLabel reqdFlag">*</span><br/> <input id="first_name" maxlength="40" name="first_name" type="text" required="true" pattern=".*\S+.*" /><br> </td> </tr> <tr> <td> <label for="last_name" class="formLabel">Last Name</label><span class="formLabel reqdFlag">*</span><br/> <input id="last_name" maxlength="80" name="last_name" size="20" type="text" required="true" pattern=".*\S+.*" /><br> </td> </tr> <tr> <td> <label for="email" class="formLabel">Email</label><span class="formLabel reqdFlag">*</span><br/> <input id="email" maxlength="80" name="email" size="20" type="text" required="true" /><br> </td> </tr> <tr> <td> <label for="phone" class="formLabel">Phone</label><br/> <input id="phone" maxlength="80" name="phone" size="20" type="text" /><br> </td> </tr> <tr> <td> <label for="address" class="formLabel">Address</label><br/> <input id="address" maxlength="80" name="address" size="20" type="text" /><br> </td> </tr> <tr> <td> <label for="city" class="formLabel">City</label><br/> <input id="city" maxlength="80" name="city" size="20" type="text" /><br> </td> </tr> <tr> <td> <label for="zip" class="formLabel">Zip Code</label><br/> <input id="zip" maxlength="80" name="zip" size="20" type="text" /><br> </td> </tr> <tr> <td>  <label for="Lead_Category" class="formLabel">I am a</label><span class="formLabel reqdFlag">*</span> <br/> <select id="00N1I00000M2uS1" name="00N1I00000M2uS1" title="I am a" required="true"> <option value="">Please Select</option> <option value="Patient">Patient</option> <option value="Caregiver">Caregiver</option> <option value="Patient Family/Friend">Patient Family/Friend</option> <option value="Academic">Academic</option> <option value="Physician">Physician</option> <option value="Nurse">Nurse</option> <option value="Pharma">Pharma</option> <option value="ARC Supporter">ARC Supporter</option> </select> </td> </tr> <tr> <td> <div id="g-recaptcha" class="g-recaptcha" data-callback="setRecaptcha" data-sitekey="6LcECv0ZAAAAAEX3Cl8YzvDptAC7UR7fgaNp76ye"></div><br> <br> </td> </tr> <tr> <td> <input type="submit" name="submit" value="Subscribe" class="button inline-button" style="background-color: rgb(228, 91, 63);width: 100%;font-size: 14px;height: 38px;border: 1px solid #d1d1d1;padding: 0.625em 0.4375em;color: rgb(255, 255, 255);"> </td> </tr> </table> </div> </form> </div> </div> </div> </div> </div> </div> </div> </div> </div> <script> jQuery(document).ready(function($){ $('head title').text("Research & Advocacy"); }); </script> </body> </html>

CINXE.COM

Participate in Research & Advocacy - Amyloidosis Research Consortium