Inform Pkg Order

Box 4751, Regina, Saskchewan S4P 3Y4

Autism Resource Centre

“To achieve a meaningful and independent life for individuals with Autism Spectrum Disorder through education, awareness and programming.”

Information Package Order Form

Name:

___________________________________________

Address:

___________________________________________

City:

__________________

Province:

_____________

Postal Code:

_________________

Phone:

_____________

Email:

___________________________________________

Cheque made payable to "Autism Resource Centre included with order

MasterCard

Method of Payment:

Credit Card #:

I would like to order the following information packages: (Please check box)

Total Cost

___________

Total Cost of Order

Visa

_______________________________________

Expiry Date:

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1. Autism Spectrum Disorder - General Information (15 articles)
2. Asperger's/High Functioning ASD (10 articles)
3. Preschool & Early Intervention (8 articles)
4.. Education/Teaching Strategies (20 articles)
5. Communication (15 articles)
6. Behaviour & Intervention (13 articles)
7. Inclusion (6 articles)
8. Explaining ASD to Peers (5 articles)
9. Eating and Sleeping (5 articles)
10.Medical (18 articles)
11. Anxiety & Relaxation (5articles)
12. Social Skills (8 articles)
13. Senory (12 articles)
14. Sexuality and Puberty (12 articles)
15. Toilet Training (5 articles)
16. Applied Behaviour Analysis/Intensive Behavioral Intervention (7 articles)
17. Adults/Vocational Skills (4 articles)
18. Community Awareness & Safety (12 articles)
19. Specialized Therapies (5 articles)
20. Visual Aids (5 articles)

PRICE - $6.50 per package. Order 4 or more packages and receive $1.00 off each package.

Number of packages ordered ________ @ $6.50 =

Discount off 4 or more packages _____@ $1.00 =

Please mail to:

Print Form & Mail to:

Autism Resource Centre
Box 4751
Regina, Sask. S4P 4Y3