Register for the Autism Yellow Pages©

Be a Part of the Book that Families with Autism are Asking for!

 The Families with ASD’s Autism Yellow Pages © 

 

Hard Copy of the Autism Yellow Pages (2009 shown here)Hard Copy of the Autism Yellow Pages (2009 shown here)                      

        For the past four years Families with ASD has printed and handed out over 9,000 hard copies of their Autism YellowPages © .  The Autism Yellow Pages© are handed out FREE to families living with autism, schools, doctor’s offices, churches, and organizations that work with children and adults with autism.  

   Would you like your autism organization to be included in our On-line Autism Yellow Pages ©? It is easy and it is free.  All you have to do is fill out the registration form below and email it to Families with ASD at familieswithasd@yahoo.com.  We need your oranizations name, address, phone, website, email and a couple lines about the services you offer families. We will add it to our searchable On-line version for FREE!

 

    If you would like your Autism Organization included in our printed hard copy of the Autism Yellow Pages © that is handed out to FREE to families at our annual Autism Expo and also through our Autism Family Resource Center, then please fill out the below registration form and mail with payment of $25 to Families with ASD.  We would love to offer this service free to organizations, however,  Families with ASD is a grass-roots non-profit organization that has NO paid staff.  Printing the Autism Yellow Pages is very costly, therefore, we must charge registration fees and advertisements to help offset the price of printing.   

 

    Reach your target audience and sign up today to be included in the 4,000 hard copies of the 2010 Families with ASD Autism Yellow Pages © that will again be handed out FREE to families at the 5th Annual Autism Expo held Saturday, September 25th, 2010 at the Live Oaks Campus in Milford, OH, with Keynote Speaker Dr. Stephen Shore. 

 

     If you purchase an advertisement for our hard copy book, then your advertisement will be included in full-color on line for free for one year!  Hard copies of the Autism Yellow Pages are also handed out FREE all year at the Autism Family Resource Center, to schools, and to doctor's offices.

 

Compare our prices to your local yellow pages, or yellow book. You will see that not only are we lower, but all money raised by the registration fees and advertisements will benefit families with autism.

 


For only $25, your organization, support group, or autism business can be included in this years 2010 Autism Yellow Pages Hard copy©. Our Autism Yellow Pages© are always in high demand.

Do you want to make your organization rise above the rest?  Purchase "Paid Key words" for our key word search. Pay $5 a keyword and help your autism organization come to the top of the list when families do a keyword search. 

 

Again, Families with ASD is a grass-roots non-profit organization that has NO paid staff.  The printing of the Autism Yellow Pages is very costly.  Registration fees, keyword fees, and advertisement fees goes toward the annual printing of the Autism Yellow Pages.  Any funds that are raised above the cost of the printing will go directly to fund the Autism Family Resource Center that is completely run by volunteers. 

 

 2010 Families with ASD’s Autism Yellow Pages© Registration Form

 Please Print and Mail completed form as well as payment to Families with ASD, 5989 Meijer Drive, Suite 9, Milford, OH 45150.  Or email your registration form and credit card information to familieswithasd@yahoo.com , attention Autism Yellow Pages Registration.  For more information call the Autism Center at 513-444-4979.

____I would like to be included in the Families with ASD’s On-Line Autism Yellow Pages ©  for free. 

____I would like to be included in the Families with ASD’s 2010 Autism Yellow Pages © hard copy and have my business reach over 4,000 families in my targeted audience for only $25.

Name of Organization/Business:_____________________________________________________________

Business Address: __________________________________________________________________________________________

Business Phone Number (including area code): ________________________________________________________________

Business Fax Number (including area code): __________________________________________________________________________

Website:_____________________________________________________________________

Email:_______________________________________________________________________

Types of Service Your Organizations Offers Families: Please list all the services you provide families such as: support, speech therapy, child advocacy, etc… (This is limited to 5 lines/420 characters)

______ I would like to make my business stand out by purchasing an advertisement in the 2010 Autism Yellow Pages.All hard copy paid advertisements will be included in full-color for one year on-line for free.

______Business card (BW) or add our company logo (3.5 x 2 inches) $100

______½ page Black and White Advertisement $750

______¾ page Black and White Advertisement $1,000

______Full page Black and White Advertisement $1,500

______Double Page Spread Black & White Advertisement $2,500

______Inside Front Cover (Full Color) Only 1 Available $5,000

______Inside Back Cover (Full Color) Only 1 Available $5,000 

Families with ASD Reserves the right to approve all advertisements (on-line and hard copies) for our Autism Yellow Pages.  All paid advertisements must be submitted for approval before the July 31st deadline to be included in the hard copies that will be handed out free at the 5th Annual Autism Expo. Advertisements, Logos should be in PNG for JPEG format and emailed to familieswithasd@yahoo.com for approval.     

 _______  I would like to help my business rise above the rest by purchaseing "Key Words" for Advanced Search on the On-line Version of the Autism Yellow Pages. 

Keywords are $5 a word, and will be used for one year for our on-line version.

Key Words: _____________________________________________________________________________________

$5 a word for _____________ keywords = $___________________ payment required.

Payment Types: 

Payment Methods:

Checks or Money Orders made payable to Families with ASD, mailed to Families with ASD, 5989 Meijer Drive, Suite 9, Milford, OH 45150.  Attention: Autism Yellow Pages .

Credit Card Information

 

 If paying by Credit Card, please fill out.

 What is CVV?Visa and Master Card :_______________* : Month____________ Year____________________* $_____________

Also known as the Cardholder Verification Value (CVV) or Customer Identification Number (CID/4DBC), these three

or four digit numbers help ensure that the physical card is in the cardholder’s possession while donating or shopping

online helping to prevent unauthorized or fraudulent use.

Where can I find it? The 3-digit code is located on the back of your card, inside the signature area. Typically the

signature panel will have a series of numbers, but only the last three digits make up the CVV code.

 For a paid registration or paid Advertisement in the 2010 Families with ASD AutismYellow Pages©. By signing, I am aware of the No Refund Policy for failure to submit and approval of my advertisement by July 31, 2010. Your Signature giving Families with ASD permission to process your order:*__________________________________________Date: *_________________

 

: for Credit Card Payments Only

____If the billing information is the same as the contact information check here.

If not please fill out the information below:

 Mailing Address:*____________________________________________________________________________________

City: __________________________  State: ____________________  Zipcode: ___________________

Phone: (   )__________________________    Email: _________________________________