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If you would like to mail payment:

Make all checks payable to Hearts for ALS NY (for the “Note” please include “Cruise for a Cure”).


HEARTS FOR ALS NY

P.O Box 10593

ROCHESTER, NY 14610

Name *
Name
Phone *
Phone
Address *
Address
In addition to my event registration, please contact me to: *

After you complete the form above, click the button to the right to purchase your ticket. 

You must purchase a ticket to complete registration.