Mail-in Membership Option

The Autism Society of New Hampshire (ASNH) receives no state or federal funding.
Support of the ASNH, through membership and donations, is vital in allowing us to continue our

mission of “improving the lives of all affected by autism through education, advocacy and support”.
At the Autism Society of New Hampshire, it is our goal to provide our members with
the most current and valuable resources available concerning Autism Spectrum Disorders (ASD).
Some of the many benefits of membership include:

• The ASNH monthly newsletter, “The Autism Spectrum”
• FREE ASNH keepsake with information packet for NEW members to ASNH
• Scholarship opportunities to attend conferences and workshops (visit www.nhautism.com to view our calendar of
events) Scholarship application link located on our home page.
• Members who provide their e-mail address* receive legislative e-mail alerts and updates on workshops and events
throughout the state.

*ASNH respects every member’s privacy and never shares e-mail addresses. All e-mails from ASNH are sent blind carbon copy (bcc) to
respect your privacy.



MAIL-IN OPTION
To become a member of ASNH or to renew your membership by mail:
Circle one: New/Renewal
Name:
______________________________________________ Annual family membership: $15

Address:_____________________________________________________________________


City:
______________________________ State:_______________ Zip code:_______________

Telephone:
____________________ E-mail:__________________________________________

Mail this form along with your check to:
Autism Society of N.H., PO Box 68, Concord, NH 03302-0068
P.O. BOX 68 Concord, NH 03302
603-679-2424
info@nhautism.com
Request  a Scholarship