GIVE THE GIFT OF
DO YOU KNOW FAMILY, FRIENDS OR CO-WORKERS WHO
STRUGGLE WITH A HEADACHE DISORDER? IF SO, EMPOWER THEM
TO BE THEIR OWN ADVOCATE BY DONATING IN THEIR NAME TO
THE NHF, WHICH INCLUDES A SUBSCRIPTION TO
HEADWISE MAGAZINE.
3 WAYS TO ORDER:
ORDER NOW AND THE RECEIPIENT WILL RECEIVE THE FOLLOWING:
CALL:
1–888–NHF–5552
VISIT:
WWW.HEADACHES.ORG
Be sure to place a check in the “I wish to give a gift”
PREVIOUS EDITION
MAIL:
E-NEWSLETTER
VIA EMAIL
Gift Donation: Payment:
$20.00 to send HeadWise plus the monthly e-newsletter, NHF News to Know. Payment enclosed (Make check payable to National Headache Foundation)
In addition, I’d like to make a tax-deductible contribution to the NHF in the
amount of: $5 $10 $20 Other: $______ Charge to my credit card:
Amex Discover Mastercard
_______________________________________________________________
Receipient’s Name (Please Print) ___________________________________________________________
Credit Card Number
Expiration Date
_______________________________________________________________
Receipient’s Address ___________________________________________________________
Cardholder’s Name
Cardholder’s Signature
_______________________________________________________________
City/State/Zip ___________________________________________________________
Billing Address
City/State/Zip
_______________________________________________________________
Preferred Phone #
E-mail Address (to get the e-newsletter) ___________________________________________________________
Preferred Phone #
E-mail Address
Visa
Please mail this form with your payment to: National Headache Foundation, 820 N. Orleans, Ste. 201, Chicago, IL 60610
www.headaches.org
|
National Headache Foundation
15