See our Donor Response Form (PDF) for more information about sponsorship items.

Company:
Contact:
Address:
City State Zip
Phone:
Fax:
E-mail:

If you would like to use a credit card to pay for your donation, please complete and submit this form and the MDA will call you and take the credit card information over the phone.

If you are paying with a check, please complete and submit this form and send your check to (make checks payable to Muscular Dystrophy Association -- Wings and put Sponsor, Journal Ad, or Research Minutes in the memo line):

MDA
1140 Avenue of the Americas, Suite 1801
NY, NY 10036

Phone: 212.689.9040 Fax: 212.689.0269 Email: specialeventwings@mdausa.org