Please fill out the following application form to become an active member of the PIAF FORUM Pacific Islands Positive Network

Information provided in this application form is strictly for the knowledge of PIAF. Information will be used for no other purpose but to provide PIAF with a minimal profile of members, including the geographical zone the FORUM covers.

REMEMBER: The PIN+ Forum is for PLWHA only! Make sure you fill in your email address so we can provide you with access to the forum.

Please submit this form to us via the button below. Upon acceptance of your application PIAF will email you with a username, password and instructions on how to use the PIAF FORUM. Any further queries please email us at piaf@oyster.net.ck.
*Email address (mandatory):
*Preferred username:
*Preferred password:
Name:
City of residence:
Age:
Additional comments:

ACCESS
Upon acceptance of your application, PIAF will issue you a username and password, along with instructions on how to use this forum. Remember the PIAF Forum is for HIV Positive People!

CONFIDENTIALITY
PIAF will keep all your information confidential. However if you have not gone public with your status please do not use your name or other identifying information when participating in the forum.

CONDUCT
PIAF kindly requests that language remains fair and respectful to all members. The Foundation reserves the right to unsubscribe any member for complaints received.