TFA Registration Form

*Note: The current TFA Year is 2010 (includes July 2009-June 2010)

Step 1 - Help Us Find your Details
Enter any 2 of the following information fields (we search as you move between fields)

Phone		School Name
Contact First Name		Contact Last Name
Address		Postal Code
Information we have on file:			If your info is shown (left) click here Otherwise: proceed to Step 2

Please complete (or update) the following fields to ensure accurate order delivery.

indicates a required field
"Official" TFA Date is April 30, 2010	example: 2010-04-30 (yyyy-mm-dd)
Contact Information
First Name
Last Name
Role	Select a Role Staff Student Parent/Relative Other
Contact Telephone
Contact Fax
Email
School or Organization Information
Organization Name (if applicable)
School Board (if applicable)
School
Address 1
Address 2
City
Province
Postal Code
Organization Phone #
Organization Fax #
Category	Select a Category Day Care/Nursery école publique francophone école catholique francophone Health Organization or Corp Personal Private School Public School Separate School University or College Other
Grades	Select grades Not applicable JK/K-5 JK/K-8 5-8 7-12 9-12
Number of Students
Number of Staff
Comments

Shipping Details (if different than above)

Shipping Address 1
Shipping Address 2
Shipping City
Shipping Province
Shipping Postal Code

Stickers

Cost: Free
Recommended distribution to every student and staff member. Available in batches of 50, 100, 150, etc.  
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Number you wish to order:

Brochures

Cost: Free
Supporting People with Autism/ Aider et soutenir les personnes autistes (bilingue)  
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Number you wish to order:

Flyers

Cost: Free
This is a half page send-home announcement that indicates participation in Together for Autism. Disponible en français  
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Number you wish to order:

No One Alone

Cost: $ 30
English - DVD Video (2010) Appropriate for grades 3-7.   
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Number you wish to order:

What do you See?

Cost: $ 30
English - DVD Video (2007) Appropriate for grades 7-10.   
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Number you wish to order:

Mon amie Dylan

Cost: $ 30
French - DVD Video (2007) Auditoire visé : les enfants de la 3e à la 6e année  
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Number you wish to order:

Experiencing Autism

Cost: $ 30
English - DVD Video (2006) Appropriate for grades 4-9.  
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Number you wish to order:

« Vivre » l autisme - Cinq simulations

Cost: $ 30
French - DVD Video (2006) Auditoire visé : les enfants de la 4e à la 9e année  
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Number you wish to order:

My Friend Dylan

Cost: $ 30
English - DVD Video (2005) Appropriate for grades 3-6  
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Number you wish to order:

A Chance To Be Me

Cost: $ 30
English - DVD Video (2004) Appropriate for grades. 7-10  
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Number you wish to order:

Meet My Brother

Cost: $ 30
English - DVD Video (2003) - Appropriate for grades K - Gr. 3  
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Number you wish to order:

TFA Trilogy

Cost: $ 90
English - DVD Video. (2005) for purchase only.   
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Number you wish to order:

Making a Difference

Cost: $ 150
Compilation DVD Video. (2008) for purchase only  
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Number you wish to order: