THE HEADACHE COOPERATIVE OF NEW ENGLAND

Contact HCNE

The Headache Cooperative of New England
Email HCNE (c/o Jo-Ann Epstein)

Application for Membership In the Headache Cooperative of New England

As a member of HCNE, you will have discounts on registration for our two yearly conferences, and be a part of the preeminent medical organization devoted to the study and treatment of headache disorders in the Northeast. HCNE Membership dues also entitle members to a new feature - access to the Members' Section of this website, with presentations from recent HCNE symposia and an archive of John Edmeads lectures.

To become a member of the Headache Cooperative of New England, you may use our simple on-line membership form below to provide your contact information and pay for the membership securely using a credit card or your existing PayPal account. You may also download the HCNE Membership Application (in MS-Word format), fill it out and mail it with payment, or contact Jo-Ann Epstein via email with any questions. Once you become a member, Jo-Ann Epstein will provide you with the username and password to access the Members' Section of the website.

The following information will be used for membership purposes only.

(1) HCNE Membership Application, Step 1: Please fill in your contact information:

	Name and Degree:
	Street Address:
	City, State, ZIP Code:
	Work Telephone:
	Work FAX:
	Email:

	Membership Type:
	One Year, $25
	Two Years, $50

Comments or questions:

Important! Please click the button, below, to confirm and send your membership information to The Headache Cooperative of New England.

(2) HCNE Membership Application, Step 2: use the secure link below to complete your membership payment. You may pay using a credit card or via an existing PayPal account.

Choose HCNE membership period below, and then select "Pay Now":

One Year $25.00 Two Years $50.00