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: New York City Walk ALS
42 Broadway
Suite 1724
New York, NY 10004
Please note that it may take up to 2 weeks to post your donation online.
For Office Use Only: