info@teamdrea.org
Facebook
Twitter
Instagram
YouTube
Menu
Home
About
About Andrea
Media Coverage
About the Foundation
Board of Directors
Blog
Events
Join
Documentary
Memoir
Shop
Donate
Product
was added to your cart
Cheer Station Application
Company/Organization:
*
Contact Person, Title:
*
Email
*
Phone
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Facebook page: www.facebook.com/
Twitter: @
Instagram: @
Suggested sponsorship amount*:
$1000 -- large for-profit companies
$500 -- small for-profit companies
$250 -- nonprofit organizations or friends & family
*Please donate what you can. These are the suggested levels.
Our sponsorship amount:
*
Total
$0.00
Please choose:
Our Cheer Station will have volunteers to hand out water/food, provide course monitoring, cleanup
Our Cheer Station will not have volunteers (e.g. band, signs, music, ext.)
Please describe your plans for your Cheer Station: (We can help you with ideas if you need them!)
Is there someone with ALS whom you wish to honor with your mile?
Name:
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
Expiration Date
Security Code
Cardholder Name
Δ
Menu