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address:country/province:login informationIf you were referred to AGS by a current member, please provide us with the member's full name and email address.Referral InformationPlease indicate the email and password you would like to use to log in to the members-only portal, MyAGS. (Please note: if you already have an account on, please usesame email address for your MyAGS account. This will ensure that your GeriatricsCareOnline account will automatically update to an AGS Member account.) testmailing address:address:city/state/zip code:prefix:middle name:last name:suffix: Personal Information Address Information Contact Information