Thank You

Sponsorship Commitment Form

Thank you for sponsoring the Lafora Disease Annual Symposium. Please provide the following information so we can accurately process your sponsorship commitment.

MM slash DD slash YYYY
Contact name(Required)
Max. file size: 50 MB.

Payment



Checks

Please make checks payable to:
Chelsea’s Hope
Post Office Box 348626
Sacramento, CA 95834


Donate via PayPal

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