HeadWise HeadWise: Volume 3, Issue 2 | Page 30

GIVE THE GIFT OF A VOICE FOR PEOPLE WITH MIGRAINE AND HEADACHE DISORDERS 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 MAIL: Gift Membership: ORDER NOW AND THE RECIPIENT WILL RECEIVE THE FOLLOWING:  2. be sure to place a check in the “I wish to give a gift membership” box PREVIOUS EDITION Payment: E-NEWSLETTER VIA EMAIL ? $20.00 to send Head Wise 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 _______________________________________________________________ Preferred Phone # E-mail Address (to get the e-newsletter) ? 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 Please mail this form with your payment to: National Headache Foundation, 820 N. Orleans, Ste. 411, Chicago, IL 60610 28 HEAD WISE | Volume 3, Issue 2 • 2013