NAPSEC Marketing Order Form

Opportunities for businesses or consultants

to market their products with NAPSEC

 Name
 Organization
Address
City/State/Zip
Phone
Email
Description of Your Organization & Product/Services
Mailing List

 

List sent via email - $350

 

Affiliate Membership

 

$550 

Once payment is received, membership

information will be sent.

This membership is for individuals and or organizations that

do business with NAPSEC Membership/or have a

special education emphasis and provide services

that would benefit NAPSEC Members.

 

Resource

Guide

Listing

  Basic Listing of Organization - $250

  Additional 5-Line Listing - $300

  Additional 9-Line Listing - $350

 

All listings are for a one year period.

This option is for individuals or or organizations that have services

that would benefit parents of special needs children.

 

Total Paid Total Amount Paid
Pay By Check

 

 Please check here if paying by check

 

Mail Payment To:

NAPSEC

601 Pennsylvania Avenue, NW

Suite 900 - South Building

Washington, DC 20004

 

Credit Card Payment  Visa       MasterCard      American Express
Credit Card Number
Expiration Date
Name on Card

Total Paid by

Credit Card

 

Thank you!

Please make

a copy

for your files.