HeadWise HeadWise: Volume 5, Issue 1 | Page 35

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 GIFTING A MEMBERSHIP TO THE NHF , WHICH IN CLUDES A SUBSCRIPTION TO HEADWISE MAGAZINE .

3 WAYS TO ORDER :

CALL : 1 – 800 – NHF – 5552

VISIT :

WWW . HEADACHES . ORG

1 . select “ Become a Member ” at the top right hand side 2 . be sure to place a check in the “ I wish to give a gift membership ” box

MAIL :

Gift Membership :

ORDER NOW AND THE RECEIPIENT WILL RECEIVE THE FOLLOWING :

PREVIOUS EDITION

Payment :

E-NEWSLETTER VIA EMAIL

� $ 20.00 to send HeadWise plus the monthly e-newsletter , NHF News to Know .

In addition , I ’ d like to make a tax-deductible contribution to the NHF in the amount of : � $ 5 � $ 10 � $ 20 � Other : $______

_______________________________________________________________ Receipient ’ s Name ( Please Print )

_______________________________________________________________ Receipient ’ s Address

_______________________________________________________________ City / State / Zip

� Payment enclosed ( Make check payable to National Headache Foundation )

Charge to my credit card : � Amex � Discover � Mastercard � Visa

___________________________________________________________ Credit Card Number

Expiration Date

___________________________________________________________ Cardholder ’ s Name

Cardholder ’ s Signature

___________________________________________________________ Billing Address

City / State / Zip

_______________________________________________________________ Preferred Phone # E-mail Address ( to get the e-newsletter )

___________________________________________________________ Preferred Phone #

E-mail Address

Please mail this form with your payment to : National Headache Foundation , 820 N . Orleans , Ste . 411 , Chicago , IL 60610

www . headaches . org | National Headache Foundation 35