Greater Delaware Valley Chapter

LOGIN TO MY ACCOUNT

Forgot Username or Password?

Walk MS Material Request Form

 

 
Thank you for your involvement in Walk MS. The materials listed below are available to all walkers and volunteers and are designed to help you recruit team members and increase your fundraising total. The items and shipping are free.

1. Please enter your personal information:

If you have previously registered, please login here to prepopulate your information.

*

Name:

 

 

 

 

 

         

*

*

 

*

City/State/ZIP:

 

    

*

*

 

 

 

 

Date of Birth:

 

What's this?

Please enter a username and password that you can use when you return. You can use this password to update your information or receive personalized content.

*

5 to 60 characters

*

5 to 20 characters

*

 


*2.
Question - Required - Please select your walk site from the list below:














3.  


 

Please select the materials that you would like sent to you. Materials will be shipped beginning the first week of January 2014.

   

4.  


 

2014 PAE walkms rack
Click image above for high resolution PDF

5.  


6.  


 


  2014 PAE walkms poster
Click image above for high resolution PDF

7.


8.  


  Walk MS pinup sneakers 

9.  


 

Walk MS 2013 Banner

10.  


 

Walk MS 2013 Button

*11.
Question - Required - Please tell us how you plan to use these materials. Please check all that apply.

 

Questions? Call 1-800-883-WALK (9255)

12.

(Maximum response 255 chars, approx. 5 rows of text)

   Please leave this field empty

     

 

THANK YOU TO OUR NATIONAL SPONSORS

Facebook button  Twitter button.png  YouTube button.png  Pinterest button  shutterfly

National MS Society - Greater Delaware Valley Chapter
30 South 17th Street, Suite 800
Philadelphia, PA 19103

1-800-883-WALK; walkms@pae.nmss.org

©2014 National Multiple Sclerosis Society. All Rights Reserved.