NAPSEC Marketing Order Form

Opportunities for businesses or consultants

to market their products with NAPSEC

Description of Your Organization & Product/Services
Mailing List


List sent via email - $350


Affiliate Membership



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.





  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:


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.