Your Contributions to the
National Headache Foundation
Help Fund Projects
What’s being done to help your
headache problem? There is an
unprecedented amount of research
being undertaken regarding migraine
and other headache pain. The National
Headache Foundation is involved in this
effort with the help of funding from you.
Contributions are a key part of the
financial support of important headache
research. Your gift provides funds for
(a) NHF-financed research projects,
(b) advocacy with health policy decision
makers, and (c) patient-education
initiatives. You can help! The National
Headache Foundation, the #1 source for
headache help, provides these services
and many others through the generosity
of people like you.
Please select one of the following giving categories:
❒ $250
❒ $125
❒ $100
❒ $75
❒ Other _________________
Name: _______________________________________________
Address: _____________________________________________
City: _________________________________________________
State/Zip: ____________________________________________
Daytime Phone: ________________________________________
Method of Payment:
Check or Money Order payable to National Headache Foundation
❒ Visa
❒ MasterCard
❒ Amex
❒ Discover
Card #: _____________________ Expiration Date: ___________
New Membership | Toll-Free (888) NHF-5552 | www.headaches.org
Individual Membership:
Payment:
$20.00 to receive HeadWise™ plus the monthly e-newsletter, NHF News to
Know, when you join the National Headache Foundation
Payment enclosed (check payable to National Headache Foundation)
In addition, I’d like to make a tax-deductible contribution in support of NHF’s
educational programs in the amount of: $10 $25 $50 Other: $_____
Charge to my credit card: Amex Discover Mastercard
_______________________________________________________________
Name (Please Print)
____________________________________________________ }}}}}}|)
ɕ