By joining Autism Society of Greater Madison, you will automatically be joining the state (Autism Society of Wisconsin) and the national (Autism Society of America) organizations. Membership includes newsletters, discounts on conference and workshop fees, admission to member-only events like our swim-party in the summer. Your dues support our lobbying efforts in Washington and at the state level to assure that the needs of people with autism are met, and our public relations efforts to raise awareness about autism.

Or subscribe to our newsletter. The cost of printing and mailing our newsletter is approximately $5.00 a year per person, so if you contribute $5.00 or more to Autism Society of Greater Madison, you can become a subscriber. If a parent or a person with autism can't afford to subscribe, a phone call to the chapter (608) 213-8519 will get you on the mailing list.

Autism Society of Greater Madison Chapter Membership Form

NAME          _______________________________________

ADDRESS   _______________________________________

CITY            _______________________________________  

STATE        _______________________________________

ZIP (+4 IF KNOWN) ___________________

PHONE (H)______________  (W)________________  Email: ______________

MEMBERSHIP CATEGORIES: CHECK ALL THAT APPLY.

__ ADDRESS CHANGE
__ NEW  
__ RENEWAL

__ INDIVIDUAL $42.00 (includes local, state and national dues)
__ FAMILY $55.00
__ STUDENT $27.50
__ Enclosed is $5.00 to contribute to the cost of the ASGM's newsletter.
__ Tax-deductible contribution. Thank You!

MAKE CHECKS PAYABLE TO Autism Society of Greater Madison

Please print this form and send it with your check to:
Autism Society of Greater Madison
2935 Fish Hatchery Rd #101
Madison, WI 53711