HELP F.A.C.T. IN THE FIGHT AGAINST HIV/AIDS

For a general donation of $15.00 members will receive advance notice of all our F.A.C.T. sponsored events and benefits for one year.  You will be added to our mailing list, and receive quarterly issues of our newsletter,  Intentionally, F.A.C.T. does not offer items of value to it's members in exchange for membership so that 100% of your donation is tax deductible.

Name ___________________________                        

Address  ________________________                 

City  ___________________________                   

Phone  __________________________                                       

• New Membership                                                   
• Renewal

• $15.00 General Membership                                         

Patron levels of membership                                                                       

• $25.00 Topaz                                                                                 

• $50.00 Amethyst                                                     

• $75.00 Sapphire                                                                         

• $100.00 Ruby

• $500.00 & up  Diamond                                                            

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