Membership Application

Autism Society of Washington (ASW) Membership Benefits include:

» Discounts on ASW conferences and workshops
» ASW voting rights
» Professional connections and referrals within local chapters
» ASW electronic newsletters
» Information, referrals, advocacy and assistance for individuals, families and professionals throughout our state

Prices are set on a per-year basis, and members must manually renew each year.

Personal Information 
Fields marked with an * are required information
  
First Name*
Last Name*
Email*
Street Address 1*
Street Address 2
City*
State/Province*
Zip/Postal Code*
Phone Number
Agency
Please choose the category that best describes yourself
Please select a membership level to make payment with PayPal*
  

ASW MEMBERSHIP LEVELS:
Individual with autism: $15.00
Individual Membership: $20.00
Family Membership (2 people): $30.00
Professional Membership: $50.00
Agency Membership (5 people): $500.00
Lifetime: $1,500.00

Please note that a $1.50 processing fee is added to memberships purchased online.

» To mail in your membership with a check, click here for the downloadable Membership Application.

» To make a PayPal donation to ASW and support our state and local chapters, click here.