Application Form

Beyond AIDS Membership Including Dues and Donations

Please fill out the form below and then click “SUBMIT AND PAY” for online submission and payment. This should take you a PayPal page to submit secure payment to Beyond AIDS, Inc. by credit card or PayPal account. If for some reason you do not immediately complete the payment, or wish to add an additional donation, you may use this Paypal button to do so.

After you submit your payment, there will be a further option to make a tax-deductible donation to Beyond AIDS Foundation.

You may alternatively click here for a printable copy to complete manually and submit by mail with your check(s) to Beyond AIDS, Inc. and/or Beyond AIDS Foundation. 

Checks to Beyond AIDS for dues and donations should be made out to Beyond AIDS, Inc. and mailed to 404 New York St. #7718, Redlands, CA 92373. They save us Paypal fees and enhance the value of your payment.

Beyond AIDS, Inc. is a nonprofit Section 501(c)4 organization. Because funds are used in part for legislative action, dues and contributions are not tax-deductible.

Required fields are marked with an asterisk (*)


Please indicate whether this preferred address is:

Telephone* Please enter at least one contact number.

Areas of Special Interest: Please check all that apply.

Please indicate the amount of your intended dues and/or donation to Beyond AIDS. Payments to Beyond AIDS are used for political action and membership services, and are not tax-deductible.

After submitting the form, you will be redirected to the Beyond AIDS, Inc. Paypal page. Enter the combined amount of your dues and donation in the "Donation" box.

© Beyond AIDS, Inc.