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.
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 (*)





Address





Please indicate whether this preferred address is:


Telephone* Please enter at least one contact number.







Areas of Special Interest: Please check all that apply.





Payment*:
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.