Southern AIDS Coalition

The mission: The Southern AIDS Coalition promotes accessible and high quality systems of HIV and STD prevention, care, treatment, and housing throughout the South through a unique partnership of government, community, and business entities.

Membership Start at just $1 !

Yes — Please accept my membership to the Southern AIDS Coalition!  I have completed the form below and enclosed my check payable to Southern AIDS Coalition.  THANK YOU!

Please check 1 box from line 1. and 1box from line 2 and all boxes that apply from line 3.

1.        Category:   q  State Government q  Community q  Corporate q  Advocate

2.        Level:   q Member $1-$99 q Supporter $100-$1,000 q Believer $1,001 +

3.        Interest:   q SAC Member  q Mobilize support q Educate elected officials

        q Serve on a SAC  committee

Name: ________________________________________________________

Address: _______________________________________________________

City: ________________________ State: _____________ Zip: ____________

Telephone: (         ) _______—_________ Fax: (       ) ________ — __________

Email: _________________________________________________________

q My check is enclosed.  Please call 205-591-6888 if you prefer to use a credit card.  

Send To:
Southern AIDS Coalition
c/o Collaborative Solutions
P. O. Box 130159
Birmingham, AL 35213