Awareness Bands
 


 

 

General Donation   Tribute   Marathon Sponsor   Gift of Hope Card   Memorial
 

 

 
 

Sponsor the A-T Marathoners

Walt Disney World®, Florida   

January 7th & 8th, 2006

OR

Sponsor an A-T Marathoner running in an 

Alternate Marathon
 
 

*Denotes required fields

 

*Your Full Name                       

*Address

*City

 

*State/Province

Country

 

*Zip/Postal Code  

*Phone (xxx-xxx-xxxx)   

*Email      

*Donation Amount

US$

 

IMPORTANT: To sponsor an individual Marathoner, enter his/her name, city, and state or country.  

 

If you are an A-T Marathoner sponsoring yourself, enter your own name.

 

      *Marathoner's Name 

 

*Marathoner's City

     

*State or Country

 

In honor of A-T patient(s)
 

Notes:

 

IMPORTANT: To complete your transaction, click Pay Now. This will take you to our secure web site to register and enter your credit card information and billing address. Please be patient, this might take a few seconds depending on your internet connection speed.

 

The information on this page is sent to the

A-TCP for acknowledgement.

Call the A-TCP office with questions:

800-543-5728

 

 

Click only once. Do not press the "back" or "refresh" buttons. This might take a few seconds depending on your internet connection speed.