Address is different than one on check. Please use above address.
$500 $250 $100 $50 $25 Other $
Please only attach one donation per form and always use a security envelope. Send this form with your donation to:
Attn: Walk to Defeat ALS
1300 Wilson Blvd
Ste 600
Arlington, VA 22209
Please note that it may take up to 2 weeks to post your donation online.
For Office Use Only: