People Concerned About Autism : Membership Form

People Concerned About Autism aims at Networking with other organisations, keeping up with research, providing family support and services, and enhancing advocacy/awareness about autism.

When you become a member of PCAA, you are entitled to receive our newsletter ‘Autism news' and by a priority participant receiving special concessional rates for the workshops we organise. The annual membership fee is Rs. 175/-. Biannual-Rs.300.

If you want to know more about PCAA contact us at :

People Concerned About Autism,
C/ o Tamana,
CPWD Complex,
Near Chinmaya Vidyalaya
Vasant Vihar, 
New Delhi-11 0057. 
Ph. : 26143853 
Email : tamanassociation@gmail.com 

To become a member, just take a printout of the following form and send it to us along with the membership fee.

Form

Yes, I would like to enrol with PCAA.

Name: ________________________________________________________________________

Address: ______________________________________________________________________

Phone (R): _____________________ (O): ________________ 

Mobile: ______________________  Email: ______________________ 

I am a     (a) Parent                (    )   - Name and age of my child: ______________________

               (b) Professional       (    )    - Nature of work: _______________________________

               (c) Family Member   (    )  - Relationship with the child: _______________________

               (d) Other (specify)   (    )

Please find enclosed the membership fee for People Concerned About Autism. I am sending a DD/Money Order of Rs. -_______________ (annual membership fee is Rs. 175/-. Biannual-Rs.300). Please add Rs. 45 for outsation members.

(DD/Cheque should be in favour of Tamana). 

Signature: _________________________                                       Date: ________________