National Caribbean American Health & Aids Awarness Day

Join us and register today

"Join us in education millions across the nation. By registering with us, it will allow you to share ideas, put on events and assist in the ongoing endeavor to educate people about the affect and prevention of HIV/AIDS withing the Caribbean community."

Registration Form
Title First Name Last Name

*Organization

*Address
*City
*State
*Zip
*E-mail
Phone
Fax

Please check one.

	My Organization would like to participate in locally planned activities
	We will participate in future conference calls
	My organization would like to participate in the National Planning Committee