Survey - Fundraising Interest Form - Cure SMA

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SMA
- About SMA
  SMA Overview
  Types of SMA
  Genetics
  Testing & Diagnosis
  Newborn Screening
- Living with SMA
  Overview
  Newly Diagnosed
  Infants & Children
  Teens & Adults
  Carriers of SMA
- Newly Diagnosed?
  
  Are you or your child newly diagnosed with SMA? Contact us today to access our community support programs.
  
  Contact Us
Community
- Local Community
  Local Overview
  Cure SMA Chapters
  Summit of Strength Program
  Walk-n-Roll Events
  Cure SMA Events Map
- National Community
  National Overview
  Annual SMA Conference
  Virtual Engagement Events
  SMA Awareness Month
- Advocacy
  Advocacy Overview
  Advocacy Action Center
  Social Sharing Graphics
- Directions Newsletter
  
  Check out the latest issues of our SMA community newsletter, Directions.
  
  Learn more
Research
- Our Strategy
  Overview
  Basic Research
  Drug Discovery
  Clinical Trials
- Latest Advances
  Overview
  Therapeutic Approaches
  SMA Drug Pipeline
  SMA Industry Collaboration
  Published SMA Research
- For Researchers
  Overview
  Research & Clinical Care Meeting
  Recruit for Clinical Trials
  Clinical Trial Readiness
  Funding Opportunities
- Compass Newsletter
  
  Read the latest issue of Compass, Cure SMA’s research publication.
  
  Learn more
Care
- Healthcare Providers
  About SMA for HCPs
  Clinical Guidelines
  Research & Clinical Care Meeting
  Educational Opportunities
- Community
  Cure SMA Care Center Network
  Find a Treatment Center
  Care Series Booklets
  FAQs & Glossary
- Medical Issues
  Overview
  Musculoskeletal
  Nutrition
  Breathing Risks & Care
  Quality of Life
- Treatment
  Overview
  Evrysdi
  Spinraza
  Zolgensma
Get Involved
Cure SMA
- About Us
  Mission & Values
  Team & Board
  National Partners
  Annual Reports & Financials
  Contact Us
- News & Media
  Media
  News Feed
- Cure SMA Store
  
  Support our mission and raise awareness with Cure SMA merchandise.
  
  Shop now
DONATE
Search for:

SMA
- About SMA
  SMA Overview
  Types of SMA
  Genetics
  Testing & Diagnosis
  Newborn Screening
- Living with SMA
  Overview
  Newly Diagnosed
  Infants & Children
  Teens & Adults
  Carriers of SMA
- Newly Diagnosed?
  
  Are you or your child newly diagnosed with SMA? Contact us today to access our community support programs.
  
  Contact Us
Community
- Local Community
  Local Overview
  Cure SMA Chapters
  Summit of Strength Program
  Walk-n-Roll Events
  Cure SMA Events Map
- National Community
  National Overview
  Annual SMA Conference
  Virtual Engagement Events
  SMA Awareness Month
- Advocacy
  Advocacy Overview
  Advocacy Action Center
  Social Sharing Graphics
- Directions Newsletter
  
  Check out the latest issues of our SMA community newsletter, Directions.
  
  Learn more
Research
- Our Strategy
  Overview
  Basic Research
  Drug Discovery
  Clinical Trials
- Latest Advances
  Overview
  Therapeutic Approaches
  SMA Drug Pipeline
  SMA Industry Collaboration
  Published SMA Research
- For Researchers
  Overview
  Research & Clinical Care Meeting
  Recruit for Clinical Trials
  Clinical Trial Readiness
  Funding Opportunities
- Compass Newsletter
  
  Read the latest issue of Compass, Cure SMA’s research publication.
  
  Learn more
Care
- Healthcare Providers
  About SMA for HCPs
  Clinical Guidelines
  Research & Clinical Care Meeting
  Educational Opportunities
- Community
  Cure SMA Care Center Network
  Find a Treatment Center
  Care Series Booklets
  FAQs & Glossary
- Medical Issues
  Overview
  Musculoskeletal
  Nutrition
  Breathing Risks & Care
  Quality of Life
- Treatment
  Overview
  Evrysdi
  Spinraza
  Zolgensma
Get Involved
Cure SMA
- About Us
  Mission & Values
  Team & Board
  National Partners
  Annual Reports & Financials
  Contact Us
- News & Media
  Media
  News Feed
- Cure SMA Store
  
  Support our mission and raise awareness with Cure SMA merchandise.
  
  Shop now
DONATE

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Fundraising Interest Form

Contact Information

*

Name:

First Required	Last Required

*

Email: Required

Street 1:

Street 2:

*

City/State/ZIP:

City	State Required	ZIP

Country:

*

Phone Number: Required

Yes, I would like to receive e-mail from Cure SMA

*

Question - Required - What type of fundraising are you interested in doing?
Please make at least 1 selection from the choices below.

	Hosting a Walk-n-Roll in my area
	Creating a fundraising team for a local Walk-n-Roll
	Hosting or participating in an athletic or endurance event (marathon, half marathon, cycling, etc.)
	Hosting a dinner or golf event
	Hosting a fundraiser with my workplace, school, or club
	Asking for donations in honor of a special occasion (anniversary, wedding, etc.)
	Creating a birthday fundraiser.
	Donating a portion of proceeds from sales
	Starting a memorial page.
	Creating a different type of fundraiser or event.
	Undecided

Question - Not Required - Please provide any additional information regarding your proposed fundraiser.

*

Question - Required - What is your connection to SMA?

Question - Not Required - What is the best time of day to reach you? (Select all that apply)
Please make between 1 and 3 selections from the choices below.

	Morning
	Afternoon
	Evening

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Cure SMA
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(800) 886-1762

info@curesma.org

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#SMA Awareness Month is almost here! Help #CureSMA kick-off our #SMAawarenessmonth campaign by making a leadership… twitter.com/i/web/status/1…
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Friends, @CureSMA will be holding its first ever Walk-n-Roll in Sioux Falls, SD on September 28, 2019! Help me ma… twitter.com/i/web/status/1…
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