Sponsor the USH2020 Connections Conference

Become an USH Friends and Family Sponsor

July 10-11th, 2020

USH Friends and Family Sponsor
Your contribution as an USH Friends and Family Sponsor funds our USH2020 Connections Conference Scholarship Program. As an USH Friends and Family sponsor, you will enable individuals with Usher syndrome and their families to attend the conference based on financial need. Preference will be given to first-time conference attendees.

Sponsorship Level

Custom Amount

First Name

Last Name

Email

Payment Option

Pay Now
Pay by Check

If paying by check, please remit payment to: Usher Syndrome Coalition, 63 Great Road, Suite 207, Maynard, MA 01754

Select a Payment Method

Credit Card
Bank Account

Cardholder Name

Credit Card #

Expiration Date

Security Code

Billing Zip Code

Account Holder

First Name

Last Name

Account Type

Checking
Savings

Account Number

Routing Number

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

Country

State

Address

City

Postal Code

If you're sponsoring as an organization, please provide the following information:

Organization Name

02511zcl0on4

Organization Description (50 words or less):

High res logo (JPG or PNG)

No file selected

Click or drag here to add files

Organization Website

USH PARTNERS