AID Atlanta - Support - Landing

Text

DONATE NOW!

Search:

Search

About
Services
Prevention & Outreach
Patient Center
Research
- Focus Group Opportunities
- External Research Projects
Volunteer & Internships
Support Us
News and Events

Home > Support Us > Memberships > The LOOP

Donation Information

Amount:

Gold Level LOOP

$ 5,000.00

SIlver Level LOOP

$ 2,500.00

Bronze Level LOOP

$ 1,200.00

Other

$

*

Additional Information

Type of gift:

One-time gift
Pledge (installments)

Frequency:

On:
Starting: Ending:

Corporate:

This donation is on behalf of a company

Anonymous:

I prefer to make this donation anonymously

Comments:

Billing Information

Title:

*

First name:

*

Last name:

*

Country:

*

Address lines:

*

City:

*

State:

*

ZIP:

*

Phone:

*

Email:

*

Payment Information

Payment Method:

Credit CardBill me later

Cardholder's Name:

*

Credit Card Number:

*

Card Type:

*

Card Expiration:

/

*

Card Security Code:

*

Matching Gifts

My company will match my gift

Look it up.

Company:

*

Tribute Information

Name:

*

First name:

Last name:

*

Type:

*

Description:

*

Mail a letter on my behalf

*

CONTACT US

General Information: (404) 870-7700
STI Testing: (404) 870-7741
Volunteer: (404) 870-7764
Comment Line: (404) 872-0600
(Anonymous)

AID ATLANTA

1605 Peachtree Street NE,
Atlanta, GA 30309-2955
(404) 870-7700

Facebook
Twitter
YouTube
Flickr

This web site contains HIV prevention
information and may not be suitable for all audiences.