Sponsorship Registration

Please complete the form below to register as a sponsor. If your sponsorship includes team entries, you will automatically receive an email confirmation with a unique sponsor code. Please use this sponsor code to register your Company teams if you will be attending the event.

For an overview of Sponsor benefits, please click here for national levels and here for local levels.

The following error(s) occurred

* = Required Field

Select a Sponsorship Level

National

National Platinum $25,000

National Gold $10,000

Local

Local Gold $5,000

Local Silver $2,500

Local Bronze $1,000

Local Court $250

Select a City *

City is required

Billing Information

First Name *

First Name is required

Last Name *

Last Name is required

Email *

Email is required Email must be in the format yourname@gmail.com

Phone Number *

Address *

Address is required

City is required

State/Region is required

Zip Code is required

Country is required

I Am (Relation to ALS) *

Relation to ALS is required

Address Type

Address Company Name

Credit Card Information

Credit Card Number *

credit card number is required invalid credit card number too many characters entered

Expiration *

Expiration month is required

Expiration year is required

CVV *

CVV is required Invalid CVV Too many characters entered

* Payment is calculated in U.S. Dollars. Please click here for a conversion calculator.

Additional Information

Company Name

Notes/Comments

Sponsorship Registration

The following error(s) occurred

Select a Sponsorship Level

Current Cities

About

Fundraising

Become a Sponsor

Host an Event

Contact Us