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Location:


Phone:
1605 Peachtree Street NE
Atlanta, GA 30309-2955

404-870-7700
(TTY/Voice 404-870-7801)
QUICK LINKS I am looking for:
Living With HIV/AIDS
aids101@aidatlanta.org AIDS 101 Registration Form
Thank you for your interest in AIDS 101. In order to register using this form, please choose one of the following two options:

1. Complete this form online
2. Print it on your local printer
3. Enclose payment and mail to:

    AIDS 101 Registration
    1605 Peachtree Street NE
    Atlanta, GA 30309
1. Click here to view a plain version of this form.
2. Print it on your local printer
3. Fill it out by hand
4. Mail it to the address given by option 1.


Please complete the following:

Which of the following seminars do you plan to attend?

January 23rd, 2010
Clayton State University
2000 Clayton State Blvd
Morrow, GA 30260
March 27th, 2010
Hillcrest Church of Christ
1939 Snapfinger Rd
Decatur, GA 30035

June 12th, 2010
Clayton State University
2000 Clayton State Blvd
Morrow, GA 30260
August 28th, 2010
Harmony Grove United Methodist Church
50 Harmony Grove Road
Lilburn, GA 30047
November 6th, 2010
Fulton Atlanta Community Action Authority
341 Kelly Street
Atlanta, GA 30312

Contact Information:

Name:       

Address:   
City:            
State:         
Zip:             
Home Phone:  
Work Phone:    

Additional Information:
I prefer a vegetarian lunch.
I am disabled and require special services. Please write a description of your needs.

How did you hear about AIDS 101? (please write in the box below):

Fees and Payment Information:
Summary of Fees
Standard Fee
Participant, preregistered
$20
Student/Senior
$10
Repeating AIDS 101
$10

You may register over the phone a few days prior to the seminar. Otherwise, please mail in your registration.

Please do not send cash.   Make checks or money orders payable to AID Atlanta.
I am enclosing a Check for $ . (Check fees above)
I am enclosing a Money Order for $ . (Check fees above)

I am repeating AIDS 101. The last date I attended was  
($10 donation for lunch suggested)

Again, thanks for your interest in AIDS 101, and we look forward to seeing you soon! Please check out the sample AIDS 101 agenda at this Web site.

Send E-mail Inquiries


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Your Donations Count
DonationsAID Atlanta would not exist without the generous financial support of individual donors, corporations and concerned neighborhood/civic organizations. Every financial contribution made is critical in our fight against HIV/AIDS.
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Deeper Love
A center for providing black gay men sexual health information and leadership training.
+Info: Deeper love
AskUsTeens.org
Finally! A Web site by teens for teens, answering tough questions about sex, STDs and staying safe.
   
+Info: AskUsTeens.org
Georgia AIDS & STD Infoline
Georgia AIDS & STD Infoline


The Georgia AIDS and STD Infoline's caring and compassionate staff are trained to provide the information you need and point you in the right direction.


+ More Info: 1-800-551-2728, or, E-mail infoline@aidatlanta.org

Want to Volunteer?



Georgia AIDS & STD InfolineYou can make a difference in the lives of so many people right in your own backyard. It's easy to volunteer at AID Atlanta -- whether an hour a week or an hour a month!

 + More Info: Volunteer | AIDS 101

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