Beyond AIDS | Donate to Beyond AIDS Foundation

Make a tax-deductible donation
Support our Foundation

We invite you to become an official Supporter by donating annually.

Beyond AIDS Foundation Supporter Information and Submitting Donations

The information you supply will allow us to list you with correct contact information in our database and email list. 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 Foundation by credit card or PayPal account.

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

If you use the hardcopy submission method, checks to Beyond AIDS Foundation for tax-deductible donations should be made out to Beyond AIDS Foundation and mailed to 1275 W. Park Ave. #7718, Redlands, CA 92373. They save us Paypal fees and enhance the value of your payment.

Required fields are marked with an asterisk (*)

Address
Date (MM/DD/YYYY)*:
Name, first and middle initial*:
Name, last*:
Title/Degree:
Street*:
Apt or Suite #:
City*:
State/Country*:
Zip Code*:

Please indicate whether this preferred address is:
Residence
Work
Preferred Email*:
Alternate Email:

Telephone* Please enter at least one contact number.
Work:
Residence:
Mobile:
Fax:

Please indicate whether the preferred phone number is:
Work
Residence
Mobile
Work Title/Profession and Employer:
Academic or Organizational Affiliations:

Areas of Special Interest: Please check all that apply.
	Scientific Issues
	Communications
	Secretarial
	Public Policy and Legislation
	Organizations and Bylaws
	Website Assistance
	Other (describe)

Please indicate the amount of your intended donation to Beyond AIDS Foundation.
Payment*:

Suggested minimum donations (Note: The Foundation is only kept solvent through much larger generous donations, but small donations of these sizes are appreciated.):
	$25 - student
	$50 - regular
	$75 - for two in the same household. Please list both names above.
	I am currently exempt from dues. (intern/fellow, recently joined/renewed, or special waiver)
	Other
Please enter Other amount here:

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


Form Secure Security Code: