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Please complete the online form below to let us know information you’d like to receive. A TS Alliance staff member will respond to you shortly.

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First Name *

Last Name *

Email *

I would like to receive email from the Tuberous Sclerosis Alliance

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Please let us know what information you need in the box below? *

Phone Number

Receive postal mail?

Yes, I would like to receive postal mail from Tuberous Sclerosis Alliance, including a free subscription to PERSPECTIVE magazine.

What's your primary connection to TSC? I am a... *

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If you have TSC, what is your date of birth?

If your relationship is not listed above or if you have additional connections, please enter it here:

Is this your first contact with the TS Alliance? *

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