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. Date MM slash DD slash YYYY Contact name(Required) First Last Contact email(Required) Organization or Company(Required) Upload Logo (please use high quality image)Max. file size: 50 MB.PaymentSponsorship Amount(Required)$1,500$2,500$5,000$10,000OtherIf you selected other, please write the amount below: Checks Please make checks payable to: Chelsea’s HopePost Office Box 348626Sacramento, CA 95834 Donate via PayPal PayPal Link Δ