Cheer Station Application

Company/Organization:*
Contact Person, Title:*
Email*
Phone*
Address*
Street Address Address Line 2 City 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 Expiration Date Security Code Cardholder Name

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