Autism Speaks (US)

Join us in creating a world where all people with autism can reach their full potential.

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Thank you for your interest. So that we can assist you with your enquiry, please complete and submit the form below. Please note that by completing and submitting this form, you are giving us your consent to securely pass on your information to Autism Speaks (US), and a free membership account will be created for you on our website.

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Phone number We ask for your telephone phone number as a secondary form of contact. It is not mandatory, but may prove to be helpful as part of your application. Your phone number will only be used in relation to this application and will not be passed on to third parties.

Why do you want to participate?

Fundraising target: $3500

Our minimum fundraising requirement allows us to fuel our mission of creating an inclusive world where all people with autism can reach their full potential. With the funds raised by our team we can provide support that transforms lives by eliminating barriers to health care, employment, education, and resources. Support that provides people with autism the chance to reach their full potential and live their best lives. We will consider a range of factors including your fundraising goal when reviewing your application.

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How will you meet your fundraising goal?

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