Autism NI, Donard, Knockbracken Healthcare Park, Saintfield Road, Belfast, BT8 8BH

Become a member online

	Autism NI membership fee is £20 (€25) for an Individual/Family/Organisation. Reduced fees of £5 (€7.50) are available for those receiving income support.
	Membership Type * Please make sure you select a membership type or we will not be able to process your payment. Autism NI membership fee is £20 (€25) Reduced fees of £5 (€7.50)
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	Email Address
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	Interest in Autism
	Name of Child/Children/Adult 1 with an Autistic Spectrum Disorder		DOB
	Name of Child/Children/Adult 2 with an Autistic Spectrum Disorder		DOB
	Name of Child/Children/Adult 3 with an Autistic Spectrum Disorder		DOB
	School/Adult Centre/Workplace attended
	Diagnosis Autism Asperger Syndrome Autistic Spectrum Disorder None Other
	If 'Other' please state
	How did you hear about Autism NI?

Branch Letter

	Dear Member, We realise that not all members are interested in being put on a mailing list for their local Branch. However, if you do want this, please complete the form below. If you decide not to be on the Branch mailing list you will still receive information of general interest from Central Office. If you need any further information please contact us. Yours sincerely, Autism N.I. ------------------------------------------------------------------------------- I am interested in being put on the Branch Mailing list (please select relevant Branch).
	Belfast South   Belfast Asperger Group Belfast West   Craigavon/Banbridge Down   Dungannon East Antrim   Fermanagh Lisburn   Londonderry Mid Ulster   Newry & Mourne North Coast   South Down North Down & Ards   Omagh
	N.B. details of current Branch meetings can be found here