Walk for Recovery - Walker Registration Page

Use this page to register if you want to participate as a Walker. If you are looking to sponsor a team or walker, but not participate yourself, visit the walkers listing to choose the participant you want to sponsor.

NAMI Louisville's Walk for Recovery is Sunday, September 12, 2010 at Waterfront Park. You or your business can support NAMI Louisville's annual Walk for Recovery by becoming a sponsor, forming a walk team and collecting pledges, or through in-kind donations of goods and services.

Your registration fee supports NAMI Louisville's important work. However, if the registration fee would be a financial hardship for you, we still want you to participate! Please give us a call at (502) 588-2008 so that we can assist you with registration.

Payment Instructions: You may make a donation online through a secure transaction via Paypal. You do not need a Paypal account to make a secure online contribution, all you need is your credit card.

If you would prefer to pay by check, you can submit your donation information here, and mailing instructions will be provided to you on the next page.

Other Amount

I prefer to pay by check rather than by credit card. I will enter my information here and send my check to the address provided after I submit the form.

Email Address *

I am contributing on behalf of an organization.

Organization Details

Organization Name

Primary Phone

Primary Email

Street Address

Street number, street name, apartment/unit/suite - OR P.O. box

Addt'l Address 1

Supplemental address info, e.g. c/o, department name, building name, etc.

Addt'l Address 2

City

Zip / Postal Code

-
Enter optional 'add-on' code after the dash ('plus 4' code for U.S. addresses).

Country

State / Province

Your Information

First Name *

Last Name *

Street Address *

Address 2

City *

State *

Zip *

How will you be participating? *

I am walking as an individual

I am forming a walk team

I am joining an existing walk team

I am not walking - just sponsoring a walker or walk team

In Honor Of

Name

If you would like, you can enter the name of a loved one or friend this donation is made in honor of.

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