2007 TeamWalk Sponsorship and Individual Donation Form

Please print this page, fill it out, and send along with your check or credit card information to:

Spastic Paraplegia Foundation, Inc.
P.O. Box 1208
Fortson, GA 31808

 

___ I am sponsoring:

____ This Walker (print name): _____________________________

____ This Walker by Proxy (print name): _____________________________

___ I am making a general donation to the TeamWalk effort

 

____ My check or money order for $__________ is enclosed

____ Please charge to my:

  #_______________________________  Exp. Date: ________________

  #_______________________________  Exp. Date: ________________

Thank You! 

The Spastic Paraplegia Foundation is the only organization in the Americas dedicated to finding the cures for Hereditary Spastic Paraplegia and Primary Lateral Sclerosis.   Your support is greatly appreciated.