Aphasia Advocacy
Foundation

"Beyond Survival for people with Aphasia"

   

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Membership Appeal 2008

“Beyond survival for people with Aphasia”

Please print out this page and send in the form to the address below.

 

Yes, I would like to become a member of the Aphasia Advocacy Foundation to build a better future for people suffering with Aphasia.  Our minds are intact but we are unable to express our words.

Name _____________________________________

Address ___________________________________

City/Town _______________State ____ Zip_______

Phone # (___) ___________
E-Mail_________________

Yes, we have the same goal in common. Here is my commitment for time that I will spend helping the organization to get the WORD OUT about Aphasia and/or my financial contribution to help support your goals.

Here is my financial commitment in the amount of:

____$5 ____$10 ____$20 ___$100 Other $____

For more information please contact us.

Aphasia Advocacy Foundation
 P.O. Box 648
Stratham, NH 03885

e-mail us at: AAFNH@comcast.net

or visit our website at: www.aafnh.org