World AIDS Day

 WORLD AIDS DAY CELEBRATION

When:  Wednesday, December 1st, 2010
    
Free music and entertainment

Free and Confidential HIV testing

Please RSVP to:
(423) 424-4257 or
Complete and Submit the Registration form below

World AIDS Day Celebration Registration

First Name
Last Name
Address Line 1
Address Line 2
City
State
Zip
Phone
Email Address
Number Attending
Please Enter Code Into the Textbox Below (CODE IS CASE-SENSITIVE):