Please fill out the membership information form below, and mail a cheque for $10.00 to


The AIDS Network

140 King St E

Suite 101

Hamilton, ON

L8N 1B2

Cheques should be made out to ‘The AIDS Network’

Please note, to qualify for membership you must live in one of the regions served by The AIDS Network (Hamilton, Halton, Haldimand, Norfolk, Brant County or Brantford Ontario)