I want to receive The VP Foundation Newsletter and other information from the Foundation.
Please send me __________ additional VPF brochures.
City / State or Province / Zip or Postal Code
Profession or business
How are you related to the sufferer? What related condition do you have?
How did you hear about the Foundation?
Please print out a copy of this form and mail with
your fee of $45 plus international postage, if any, to:
The VP Foundation
Post Office Box 755
Graham, NC 27253