Making Your Gift to AID Atlanta 1605 Peachtree Street, NW Atlanta, GA 30309-2955 (404) 870-7700 AIDAtlanta.org NAME:  _____________________________________________________________________ ADDRESS:   _________________________________________________________________ CITY:  ___________________________  STATE:  ___________________   ZIP:  _________ PHONE home:  _________________________  work:  __________________________ E-MAIL ADDRESS:  _______________________________________ Join The Loop! It is easy to become a member of The Loop. With annual, quarterly, or monthly gifts, you can make a significant difference in the lives of people living with, affected by, and at-risk for AIDS.    • Diamond Loop Member $25,000 and above    • Platinum Loop Member $10,000 - $24,999    • Gold Loop Member $5,000 - $9,999    • Silver Loop Member $2,500 - $4,999    • Bronze Loop Member $1,000 - $2,499 Yes! I want to joind The Loop of AID Atlanta with a gift of $_________________. Other giving options:    ___ Red Ribbon $500 - $1999 Amount enclosed $_____________    ___ AID Atlanta Supporter $499 and below Amount enclosed $_____________ Please accept my pledge. I wish to make my pledge payments by:    Check ___   Credit Card ___   Cash ___   Stock or Securities ___ I would like my gift to be made:    One-Time Only ___   Quarterly ___   Monthly ___ If you would like to make your gift by credit card, please complete the information below:     Visa ___  MasterCard___  American Express___   Account Number:  _______________________________  Exp. Date:  _________________ Matching Gift: I want to include a matching gift through my employer's matching gift program. (Please obtain a matching gift form from your Human Resources office and send with your gift.) Questions? Please contact:    Director of Development | telephone: (404) 870-7700