AIDS Committee of Windsor


Registering for Windsor's AIDS Walk Canada is easy!  Simply fill out the form below and an AIDS Walk Coordinator will contact you to arrange your registration.  Thank you for your support!  See you September 29th, 2006.

You can pick up a pledge form at the AIDS Windsor Office, or you can print the sheet here.


Are you walking as an   Individual  or as part of a   Team?

If forming or walking as part of a team, please enter your Team Name here:

Contact Information (*Required Fields):

*First Name:    *Last Name: 

*Address:   *City: 

*Postal Code:      *Home Phone:

Work Phone (If forming a team): 

Email:   

If you have problems submitting this page, please register by

phone-519-973-0222!

      

Updated August 3, 2006

1168 Drouillard Rd., Suite B, Windsor, ON    N8Y 2R1  PH: 519-973-0222 or 1-800-265-4858  FAX: 519/973-7389