2021/22 Autism Intervention Trust Financial Membership Form
Thanks for joining the Autism Intervention Trust Financial membership. Our membership year runs from 1 April 2021 to 31 March 2022 but you can join at any time.
Financial membership gives preferential booking and discounted prices for events and activities that incur a fee. Membership costs $69 per year.
This form will take approximately 5 minutes to complete
* Required
Name(s) of adult(s) in this membership:
*
Your answer
Main email address
*
Your answer
Alternative email address
For second person or alternative email
Your answer
Please tell us about your main interest in autism
*
This helps us to know our members and better plan our activities.
Parent(s) or Guardian(s) of a child with autism
I am on the autism spectrum
Friend or relative of someone with autism
I work with or care for children with autism
I'm an education or health professional
I'm a student learning or researching in the field of autism
I'm a volunteer who wants to help the Trust
Other:
What information and activities are you interested in?
School holiday programme
ASD gym class
Early-Intervention Therapy
Other:
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