New Sponsor Form

Please complete our New Sponsor form

Name of Organization*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Email(s) of Preferred Contact Person(s)*
Contact Person(s)
Website*
Level of Sponsorship*
Payment Method*
- PayPal
- Check
As a sponsor, we ask you to agree to the following tenets:
1. All treatments for individuals with autism should be guided by the best available scientific information.
2. Service providers have a responsibility to rely on treatments that have been shown to be safe and effective in scientifically rigorous, peer-reviewed research studies.
3. Service providers should take steps necessary to help consumers differentiate between scientifically validated treatments and treatments that lack validation.
4. Consumers should be informed that any treatment lacking scientific support should be pursued with great caution.
5. Objective data should be used when making clinical and educational decisions.
Name of Person Completing Form*
First Last
Date*
Date Format: MM slash DD slash YYYY
Comments
This field is for validation purposes and should be left unchanged.

Thank you for supporting ASAT’s mission and initiatives. Upon receipt of this form, you will receive a letter of acknowledgment and a request for a jpeg of your logo for our website.

If you have any questions or comments please email us at sponsor@asatonline.org.

Disclaimer– ASAT has no formal relationship with its sponsors. Furthermore, stated endorsement of the above tenets is not verified or monitored by ASAT. Although ASAT hopes that all sponsorship organizations will act in accordance with the above statements, ASAT does not assume responsibility for assuring that organizations do not deviate from these values.