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Pledge A Donation

To send just one person to a national convention costs between $1050 and $2000.00 depending on location of convention and how far a scholarship winner lives from the city the convention will be held in.   Expenses are required for convention registration fees, transportation, lodging and meals.  
 
The Hunt-Dis Convention Scholarship Fund is hoping to send between 3 and 5
individuals to the 2003 HDSA National Convention in Houston June 6-8.  The cost for one night's lodging at the convention hotel is $112.00 plus taxes alone.  Registration fee for the convention itself may run between $140.00 and $200.00 for each person.
 
Any amount you feel you can contribute will be greatly appreciated!!  This Auto-Responder will send your pledge to Dave Hodgson-Treasurer Hunt-Dis Scholarship Fund.  We're sorry, but at this time we do not have a secure website to accept credit cards.
 
Thank you!
 
YES, I'd like to make a donation to the Hunt-Dis Scholarship Fund to help someone having financial difficulty attend an HDSA National Huntington's Disease annual convention.

Date:

Name:

Address:

City:

State: Zip Code

Phone:

Alternate Phone Number:

Email Address:

Preferred Method of Contact: PhoneEmailUS Mail

I hereby pledge the following donation to the HDSF:

$10.00$25.00 $30.00 $50.00$100.00Other

If "Other", please indicate

I will submit my donation by

I am unable to make a donation at this time but am interested in
receiving more information on this fund(BR):YESNO

Submit other comments and/or questions:

;

My check or money order, payable to "HDSF", will be mailed to:

HDSF Treasurer
Dave Hodgson
1526 Applegate Dr.
Naperville, Il 60565