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Kennedys Disease Sign Up Information

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Email Address


Your Name

 First Name, Last Name

Your Address

 Home Address, City, Zipcode

Phone Number


Post-Registration Data

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This site did not show evidence of storing passwords in plaintext.

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Membership Emails

Below is a sample of the emails you can expect to receive when signed up to Kennedys Disease.

Kennedy's Disease Association
Thanks for joining us!
Stay tuned for news and updates delivered straight to your inbox.
Kennedy's Disease Association |
 (Female) KD Carrier
First name
Last name
Home address
Email ListsChoose the box that best describes you
 (Female) KD Carrier
 (Male) with Kennedy’s Disease
 Doctor/Medical Researcher
Data Name Data Type Options
 (Female) KD Carrier   Text Box
First name   Text Box
Last name   Text Box
Email   Text Box
Phone   Text Box
Home address   Text Box
City   Text Box
Zipcode   Text Box
  checklist Email ListsChoose the box that best describes you
  checklist  (Female) KD Carrier
  checklist  (Male) with Kennedy’s Disease
  checklist  Doctor/Medical Researcher

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Comment by: admin
Comment on: 01/09/2020