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

Become a member online

	PAPA 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 * PAPA membership fee is £20 (€25) Reduced fees of £5 (€7.50)
	Name *
	Delivery (cardholder) address*
	Postcode *
	Email Address
	Telephone (Landline)
	Mobile
	Please tell us how you found our site
	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 PAPA?