Survey - Fundraising Interest Form - Cure SMA

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Search for:

SMA
- About SMA
  Overview
  Types of SMA
  Genetics
  Testing & Diagnosis
  Newborn Screening
- Living with SMA
  Overview
  Newly Diagnosed
  Infants and Children
  Teens and Adults
  Carriers of SMA
- Treatment
  Overview
  Evrysdi
  Spinraza
  Zolgensma
- Handling Medical Issues
  Overview
  Musculoskeletal
  Nutrition
  Breathing
  Quality of Life
- FAQs & Glossary
  
  Care Series Booklets
  
  Directions Newsletters
Support & Care
- SMA Care Center Network
  
  Local, evidenced-based care centers, designed to improve the lives of those with SMA.
  
  LEARN MORE
- Local Support
  
  Cure SMA offers a variety of ways to get involved and connect with your local community.
  
  Find out more
- National Support
  
  There are nationwide programs available for all families affected by SMA in the US.
  
  Find out more
- Treatment Centers
  
  News
  
  Contact Us
Research
- Our Strategy
  Overview
  Basic Research
  Drug Discovery
  Clinical Trials
- Latest Advances
  Overview
  Therapeutic Approaches
  SMA Drug Pipeline
- For Researchers
  Overview
  Funding Opportunities
  Research & Clinical Care Meeting
  Recruit for Clinical Trials
- Research Publications
  
  Read the latest issue of Compass, Cure SMA’s research publication.
  Learn more
Healthcare Providers
Get Involved
- Ways to Give
  Overview
  Donate
  Fundraise
  Planned Giving
  Volunteer
- Event Calendar
  Cure SMA Events
  Annual SMA Conference
- Advocacy
  
  Many state and federal policies impact nearly all aspects of life for those affected by SMA.
  Learn more
- Cure SMA Store
  
  Support our mission and raise awareness with Cure SMA merchandise.
  Shop now
About Cure SMA
DONATE
Search for:

SMA
- About SMA
  Overview
  Types of SMA
  Genetics
  Testing & Diagnosis
  Newborn Screening
- Living with SMA
  Overview
  Newly Diagnosed
  Infants and Children
  Teens and Adults
  Carriers of SMA
- Treatment
  Overview
  Evrysdi
  Spinraza
  Zolgensma
- Handling Medical Issues
  Overview
  Musculoskeletal
  Nutrition
  Breathing
  Quality of Life
- FAQs & Glossary
  
  Care Series Booklets
  
  Directions Newsletters
Support & Care
- SMA Care Center Network
  
  Local, evidenced-based care centers, designed to improve the lives of those with SMA.
  
  LEARN MORE
- Local Support
  
  Cure SMA offers a variety of ways to get involved and connect with your local community.
  
  Find out more
- National Support
  
  There are nationwide programs available for all families affected by SMA in the US.
  
  Find out more
- Treatment Centers
  
  News
  
  Contact Us
Research
- Our Strategy
  Overview
  Basic Research
  Drug Discovery
  Clinical Trials
- Latest Advances
  Overview
  Therapeutic Approaches
  SMA Drug Pipeline
- For Researchers
  Overview
  Funding Opportunities
  Research & Clinical Care Meeting
  Recruit for Clinical Trials
- Research Publications
  
  Read the latest issue of Compass, Cure SMA’s research publication.
  Learn more
Healthcare Providers
Get Involved
- Ways to Give
  Overview
  Donate
  Fundraise
  Planned Giving
  Volunteer
- Event Calendar
  Cure SMA Events
  Annual SMA Conference
- Advocacy
  
  Many state and federal policies impact nearly all aspects of life for those affected by SMA.
  Learn more
- Cure SMA Store
  
  Support our mission and raise awareness with Cure SMA merchandise.
  Shop now
About Cure SMA
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
	Participating in a Team Cure SMA 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 (birthday, anniversary, wedding, etc.)
	Other
	Undecided

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

*

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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