Survival Strategies for Everyday Living: Part 2
by Kimberlee Ambach & Nadya Molina
February 22nd 2009 1:00-4:00 PM
Hilton Alexandria at Mark Center

Step 1: Complete form below and click Submit Form below (only once) to reserve a slot
Step 2: Print this form (using browser's print command)
Step 3. Mail form with workshop fee ($20) and membership fee ($20) to: AAC-VA, P.O.Box 2687, Merrifield, VA 22116

(ALL CHECKS PAYABLE TO AAC-VA)

AAC-VA Membership form & Workshop Registration

* First Name:

* Last Name:

* Workshop Fee:

* Street Address:

* City:

* State:

* Zip Code:

* Telephone:
--

Alternate Telephone:
--

* Email:

*Do you have a family member with autism?

*Specify relationship to individual with autism:

*Why are you joining AAC-VA?

Learn about autism treatments     Advocate for autism       Looking for support group        Help set autism policy

*Would you be willing to volunteer for AAC-VA events?



(CLICK SUBMIT FORM ONLY ONCE)

Contact events@aac-va.org if you are having problems submitting this form

AAC-VA Membership form & Workshop Registration
* First Name:
* Last Name:
* Workshop Fee:
* Street Address:
* City:
* State:
* Zip Code:
* Telephone:	--
Alternate Telephone:	--
* Email:
*Do you have a family member with autism? Specify relationship to individual with autism: Why are you joining AAC-VA? Learn about autism treatments Advocate for autism Looking for support group Help set autism policy *Would you be willing to volunteer for AAC-VA events? (CLICK SUBMIT FORM ONLY ONCE) Contact events@aac-va.org if you are having problems submitting this form