The AIDS Commitee of
North Bay and Area


ANNUAL AIDS WALK FOR LIFE

YOU can make a difference in your community!
Join us on September 24th to walk in the fight against HIV.

Registration is 6:00 p.m. to 7:00 p.m.
Walk starts at 8:00 p.m.

Please fill in the information below, and
your WALK package will be sent to you.


First Name
Last Name
Address   
Postal Code
 Email 
Home Phone
Work Phone

How many pledge forms would you like?
Would you like to register a team?
 Yes  No
How many individuals will be on your team?
Would you like to volunteer?
 Yes  No
You also have the option of registering your pet in your place for our exciting Dog Challenge -- The dog who raises the most Walk Pledges will receive exciting prizes and a plaque commemmorating their achievement.