Travel Package Request Form

Please fill out the form below to request a Cure SMA Adult Travel Package. Upon submitting this request and confirming eligibility, we will ship out your package in the order your request was received and based on availability. Please email communitysupport@curesma.org with any questions. We are unable to ship to P.O. boxes.

Travel Package Includes:

(1) ADAPTS Portable Transfer Sling
(1) Apple AirTag
(1) AirTag Case Holder
(1) Twist Memory Foam Pillow
(1) Twist n Lock Stool
(5) Job Ticket Holders
(10) 6" Wire Keychain Cables

Thank you to the sponsors of the Cure SMA Travel Package:

Gold Sponsors
Biogen
Genentech

Silver Sponsor
Scholar Rock

1. I acknowledge I have read through the eligibility criteria below and meet all of the requirements.

Eligibility Criteria:

Must have confirmed SMA diagnosis.
Must be 18 years of age or older.
Must live within the United States.

*This question is required.

Are you affected by SMA or are you filling out this request on behalf of a person with SMA? *This question is required.