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