Campaign Sign-Up Form
Please check one option below:

YES, I want to become a community partner with the "Life Is What You Make It!" HIV Treatment Campaign. Please send me materials so I can begin our work in the community.

Please contact me with more information on the "Life Is What You Make It!" HIV Treatment campaign and the MEE CBO Network.

Please verify your contact information below and submit this form or print and fax it.
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For more information on the "Life is What You Make It" HIV Treatment Campaign, please contact MEE:

340 North 12th St., Suite #503 Philadelphia, PA 19107

phone (215)392-4920
fax (215)829-4903

meeprod@aol.com