Yes, I support the work of APAC (Asian Pacific AIDS Council), I am contributing

$50	$100	$500
$1000 or more	Other $___________

Name: ___________________________________________

Address: _________________________________________

City: ____________________________________________

State: ___________________ ZIP: ____________________

Phone: (Day): __________________ (Evenings):__________________

Yes I would like to volunteer with Asian Pacific AIDS Council

Please return form with contributions to:

APAC, P.O. Box 3161, Seattle Washington, 98144

Speaking Out	Mission	Accomplishments	Constituency
Organization	Background	Calendar

Send E-Mail to: apac@scn.org