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BE A

MEMBER!

you can make a difference!!

AIDS New Brunswick

65 Brunswick Street
Fredericton, NB
E3B 1G5

(506) 459-7518 (ph) v (506) 459-5782 (fax)


programsupport@aidsnb.com
www.aidsnb.com

1-800-561-4009

Receive our newsletter...


Receive special updates on
organizational activities...
Receive one vote at the Annual
General Meeting upon being a
member for at least 30 days...
Be a part of an organization that is
important to the health of your
community!

BECOMING A MEMBER...

In becoming a member, I am in
agreement with the mandate and
governing principles of AIDS New
Brunswick:

Mandate
AIDS New Brunswick is a provincial
organization committed to facilitating
community-based responses to the
issues of HIV/AIDS. The aim is to
promote and support the health and
well-being of persons living with and
affected by HIV/AIDS and to reduce
the spread of HIV/AIDS in New
Brunswick.

BENEFITS TO YOU!
SIGNATURE_________________________________________________________________________

NAME______________________________________________________________________________
ADDRESS___________________________________________________________________________
CITY___________________
PROV_________ POSTAL CODE___________________________
PHONE (H)_____________ (W)_______________ (FAX)________________________________
E-MAIL_____________________________________________________________________________

 I would like to make a donation in the amount of $________ (a charitable tax receipt will be issued)
 Cheque/Money Order  MasterCard  Visa
Card # ______________________________
Expiry Date: _____________________

MEMBERSHIP APPLICATION
I wish to become a member of AIDS New Brunswick. There is no membership fee :
 Individual
 Associate
 Professional Assoc.  Corporate
 I am a person living with HIV/AIDS and/or a volunteer of AIDS New Brunswick

Language preference:  English  French

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