Subscribe to the AIPatHome Bulletin

* Means that information is required

We only need your Last Name and Email address. All other information is OPTIONAL. Please note: bulletins can not be delivered to addresses such as 'info@whateverdomain.com', 'sales@whateverdomain.com', 'office@whateverdomain.com' etc.

First Name

Last Name*

Email*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

About You

We truly appreciate your taking the time to answer the following questions. This information will help us meet your information needs in the future and with the development of AIPatHome.com.

Gender

Female
Male

Age

How did you learn of AIPatHome.com?

Are you interested in aging in place for:

Myself
Loved One
Both myself and loved one(s).

Is your interest primarily as:

Consumer
AIP Professional
Both Consumer & Professional

Are you a caregiver?

Yes - Professional
Yes - Not Professional
No

AREAS OF INTEREST

What kinds of resources and information are you interested in receiving from AIPatHome.com? (Please check all that interest you.)

Universal Design

New Homes
Remodeling/Incorporating UD features into my current home
Products/Appliances
Locating a Certified Aging in Place Specialist (CAPS)

DIGITAL HEALTH/TELECARE

How to use technology for caregiving
Learn about products
Caregiving from a distance

Smart/Connected Homes

How to make my home a Smart or Connected Home
Products
Service Providers

FOR AGE IN PLACE PROFESSIONALS

AIP Pro

If you are an AIP professional, briefly describe what you do/industry.

Special training, certifications or memberships - please check all that apply:

Other memberships:

AIP Business Pages

I want to get listed in the AIP Business Pages - send me info!

AND FINALLY,

Comments/Questions

4+6 =*

This is to make sure you're human and not a spam bot!