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Media & Research
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Name
*
First
Last
Email
*
Phone
Organization
Website / URL
Please select the category that best suits your need:
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Journalist looking for information for a news story.
Researcher/Academic/Scientist... looking for assistance with my research.
Business/Corporate representative looking for a speaker on autism-related topics.
Representative looking for someone to run an autism-related table at a resource fair.
Other
When is your deadline? (Leave blank if no hard deadline.)
Date
Time
Tell us about your story and the information you need:
Tell us about your research and the information you need:
When is your event date? (If applicable)
Date
Time
Organization deadline? the
When is your event date?
Date
Time
Tell us more about your needs:
Perhaps you are looking for our resource request form?
If you are looking for help, please fill out the resource request form here.
Sign me up for your newsletter:
Yes
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How did you hear about us?
Search engine
Facebook
Pettinelli Golf Tournament
95.7 The Game
Annual Conference
Stanford
SFASA Board Member
Friend/family
Other*
Which board member?
Please specify:
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Additional information or questions?
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