Donation Pledge Responder

Pledge A Donation

If you'd like to make a pledge to the Fund, and help someone who is having financial difficulty attend an HDSA National Huntington's Disease convention, please use the below responder.

To send just one person to an HDSA national convention costs between $1000 and $2000.00. Scholarship expenses help cover the convention registration fee, R/T transportation, lodging and meals. All expenses are paid to the Scholarship winner and, depending on remaining funds, partial scholarships to the other applicants.

If the autoresponder does not work on your computer, or you would prefer to send your pledge via email or snail mail, please contact:

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

If you haven't already, please visit the About Us page.

Date:

Name:

Phone (Optional):

Address:

City:

State: Zip Code

Email Address:

I hereby pledge the following donation to the HDSF:

$10.00$25.00$30.00 $50.00 Other

If "Other", please indicate

I will submit my donation by (date)

In Memory: I'd like my donation to honor my loved one who had

Huntington's Disease. Below is the brief message I would like

included on the Hunt-Dis Wall of Honor on the card I have selected

(indicate Lily or Amaryllis) :

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

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