Please Support the NAA

Aphasia is an acquired communication disorder that impairs a person’s ability to process language, but does not affect intelligence.
In addition to the impairment or inability to speak or understand speech, most people with aphasia experience difficulty reading and writing.
There are more than 1 million people with aphasia in the United States who are in need of understanding. Support from individuals such as yourself, is indispensable to the National Aphasia Association in its work to promote public awareness about aphasia. By your support, you will help thousands of families better cope with this devastating disorder. Many of these families face severe economic hardship because of aphasia, so the NAA provides its information at no cost. When making your gift, please be as generous as you can so that the NAA can continue to help all of those who need it.
Please be advised that by requesting literature to be mailed to you and/or making a donation to the NAA, your mailing information is automatically added to our mailing list.  If you do not want your name added too our mailing list or wish to be deleted from existing database, please advise by calling (800) 922-4622 or email naa@aphasia.org.  We do not sell our mailing list to any other organization.
All contributions to NAA are fully tax deductible.
Make checks payable to: National Aphasia Association

_____ $5000    _____ $1000    _____ $500     _____ $250     _____ $100     _____ $50     _____ $25     _____ Other

Name: _____________________________________________________________________
Address:  __________________________________________________________________
Address:  __________________________________________________________________
City:     _________________________________________  State:  ____  Zip: _____________
*Telephone: _____________________________________________________
*Email: _________________________________________________________
I am:   a person with aphasia,   a family member or friend,   a healthcare professional

Thank you for your support!

My credit card number is: ___________________________________________

Exp. Date: ____________

 Mastercard            Visa          American Express          Discover
Signature: ________________________________________________________________

*Please be sure to include a phone # or email address above so that we may contact you with any credit card issues.

Please include any other special instructions, such as to what specific fund or event this donation should be directed to (if applicable):

______________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________ 

Mail to: National Aphasia Association
350 Seventh Avenue-Suite 902
New York, NY 10001
or
FAX: (212) 267-2812