Sponsorship: help someone get exercise

Want to donate to help someone with cancer receive the gift of exercise? Then we invite you to use this form to sponsor our exercise participants. Please fill in the information on this page, then click below to review the information and enter your donation. Thank you!

Step 1 of 2: Register your sponsorship

Please fill in all the information below. (* = required field)

Your name* :
Your email address* :
Name of the exercise participant you wish to honor* :
Your donation amount:
Privacy request:	Please tell the honoree this was an anonymous donation in their honor OR Please feel free to share my (our) identity with the honoree
Your phone number: (including area code)
Street:
City:
State:
Zip:
Please enter any additional information, comments or questions here:
Please choose your payment option below:
Pay now by credit card using PayPal OR 2) Send us a check by mail at: Sunflower Wellness 234 Grand View Ave. San Francisco, CA 94114
When you click the "send" button below, you will have a chance to confirm the information you have entered.