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                                     CONTRIBUTIONS

I thank you for all your help, no matter how small.  Helping others means helping yourself and giving to others will bring rewards more than you expect.

All contributions are tax-deductible.

Please make checks payable to:

THE NATURAL HEALTH FOUNDATION, INC.

___ $50 ___ $100 ___$200 ___ $300 ___$500 ___ $1000

Other amount __________

Instructions:

___ For anyone
___ For patients of a particular condition ________________
___ For general research
___ For research of a particular condition ________________

Comments

_________________________________________________________________________________________

_________________________________________________________________________________________

On behalf of all patients, I thank you for your contributions.

Please print, complete, and mail this form with your contribution to the Natural Health Medical Center office and we will provide a receipt of donation.

Huy Hoang, M.D.
The Natural Health Foundation, Inc.

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