I WANT TO HELP HD RESEARCHERS GET CLOSER TO A CURE!
Enclosed is my gift of __$25 __$50 __$100 __$250 __$500 __$1000 __Other_________
Name: __________________________________________________
Address: _________________________________________________
City, State, Zip:____________________________________________
Telephone: _______________________________________________
Email: ___________________________________________________
Checks should be made payable to: HDSA Northeast Ohio Chapter for the
HDSA Research matching Gifts Challenge Fund.
Tax deductible according to IRS regulations.
Thank you for your prompt response to HDSA/NEO Chapter, P.O. Box 18900, Cleveland OH 44119-0900