NATSAP Program Directory Order Form

There is no charge for the NATSAP Directory. Shipping Charges Apply

To receive your copy of the NATSAP Directory, please complete the form below and mail or FAX your order with your check or money order for shipping and handling to NATSAP, Inc.

To download the below order form in PDF format, please click the link below.

Directory Order Form in PDF format

You may also view our Online Directory by clicking here.

First/Last Name:

Organization:

Mailing Address:

City: State: Zip:

Phone:

Email:
Please indicate your profession:

__ Educational Consultant

__ Student

__ Licensed Counselor

__ Parent

__ Psychologist

__ Alumnus

__ College/University Professor

__ Licensed Therapist

__ NATSAP Member Program Staff Member

__ Psychiatrist

__ Other _________________________(please specify)

Please select your NATSAP Membership Status:

__ NATSAP Member (Staff of Member Program or Individual Affiliate)

__ Non-Member

Shipping and Handling Charges (We ship via United States Postal Service.)

Single directory (Media Mail)....................... $-0- (complimentary)

2 directories (Priority Mail)........................... $5.00

3 to 15 directories (Priority Mail).................. $10.00

16 to 30 directories (Priority Mail)................ $20.00

35 or more ......................contact the NATSAP office

Number of Copies Requested: ________

Total Shipping Charges: $ _________

(Media Mail: Allow 7 to 10 days for delivery, Priority Mail: Allow 3 to 5 days for delivery)

Payment:
(This form also serves as your invoice and payment is due once you FAX or email your request.)

__ Check Enclosed

__ Credit Card Number _____________________________

Exp Date: _________________ CVC: _____

Please make checks payable to NATSAP and send to:
NATSAP
5272 River Road
Suite 600
Bethesda, MD 20816
Fax Orders to: (301) 986-8772
Questions? Call (301) 986-8770
Email: info@natsap.org

Fax Orders to (301) 986-8772.
Questions? Call (301) 986-8770