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:
ORDER NOW AND THE RECEIPIENT WILL RECEIVE THE FOLLOW
FOLLOWING:
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:
PREVIOUS EDITION
E-NEWSLETTER
VIA EMAIL
Payment:
Gift Membership:
$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
_______________________________________________________________
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
Mastercard
Visa
Please mail this form with your payment to: National Headache Foundation, 820 N. Orleans, Ste. 411, Chicago, IL 60610
www.headaches.org
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