Purchase an AIDS Pin, in support of HIV/AIDS efforts in South Africa:

Please fill out this form and mail it to South Africa Partners, 89 South Street, Suite 401, Boston, MA 02111 or fax to (617) 443-1076

$ 5 per pin:

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⃞ Enclosed is my check in the amount of ---------------------------------------------

payable to South Africa Partners.

⃞ Visa ⃞ MasterCard ⃞ American Express ⃞ Discover

Bill my card in the amount of -----------------------------------------------------------------

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Expiration Date: ------------------------------------

Name: -----------------------------------------------------------------------

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