With your help, there will be a cure...
Create your fundraising and team page
Once you have filled out this form, you will be taken to your personal fundraising page, where you can tell your story, fundraise, and more. You will also be able to invite others to join your team!
Personal Information
First Name
*
Last Name
*
Email Address
*
Create a password
*
Address 1
*
Address 2
City, State, Zip
*
,
,
Country
*
Phone Number
*
Are you participating in honor of someone? If so, please share their name with us.
Are you participating in memory of someone? If so, please share their name with us.
Event Related Information
Enter your new team's name
*
What is your personal fundraising goal
$
What is the fundraising goal for your team?
$
Each individual raising $100 will be entered into a drawing for a 2 night / 3 day stay at the Casa Marina Resort in Key West.
Individual Incentives: Achieve preset fundraising levels and receive your choice of valuable prizes! Select your desired incentive based on your fundraising goal.*
$250-$499
$25 Gift Card to Starbucks
$500-$999
iPod Shuffle
$50 Gift Card to Best Buy
$50 Gift Card to Macy's
$1000-$2499
iPod Nano
$150 Gift Card to Best Buy
$150 Gift Card to Macy's
$2500-$4999
Canon 7.1MP Powershot
$200 Gift Card to Best Buy
$200 Gift Card to Macy's
$5000+
Sharp 20" Flat Panel
$400 Gift Card to Best Buy
$400 Gift Card to Macy's
None
I do not wish to receive an Individual Incentive. Please donate the incentive back to the ALS Recovery Fund to further its mission.
*If you do not meet your fundraising goal or exceed your fundraising goal beyond your desired incentive, the ALS Recovery Fund will substitute your desired incentive for the prize in the next eligible category.
