May 22, 2013

NATSAP 2012-2013 Directory

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 or view our online 2012-2013 Directory  in PDF format, please click the links below.

Click on the print icon at the bottom of the page to print the Directory Order Form.

Click here to view our  Online 2012-2013 Directory in PDF format

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Directory Order Form

To order a hard copy of 2012-2013 Directory, please complete the form below and email, mail, or FAX
your order, with your credit card information or check for shipping and handling, to NATSAP, Inc.

CONTACT INFORMATION

First/Last Name: _____________________________________________________________

Organization: _______________________________________________________________

Mailing Address: _____________________________________________________________

City:_____________________________ State:___________ Zip:_______________________

Phone:__________________________ Email:______________________________________

PROFESSION AND MEMBERSHIP STATUS (please highlight or circle)

  • Please indicate your profession
  • Educational Consultant
  • Psychologist
  • Psychiatrist
  • NATSAP Member Program Staff Member
  • Parent
  • Licensed Counselor
  • Licensed Therapist
  • College/University Professor
  • Alumnus
  • Student
  • Other _________________(please specify)

Please select your NATSAP Membership Status: (please highlight or circle)

NATSAP Member (Staff of Member Program or Individual Affiliate)
Non-Member

NUMBER OF COPIES AND SHIPPING INFORMATION

Number of Copies Requested: ________
Total Shipping Charges (See to the Right)
Media Mail: Allow 7 to 10 days for delivery
Priority Mail: Allow 3 to 5 days for delivery

Shipping and handling charges
(We ship via United States Postal Service.)
Single Copy (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
31 or more …………………………….contact the NATSAP office

PAYMENT INFORMATION

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

  • Check Enclosed
  • Credit Card Number:___________________________________ Exp Date:________CVC:______

Please return completed form and payment to:

NATSAP 5272 River Road, Ste. 600, Bethesda, MD 20816
Phone: (301) 986-8770 • Fax: (301) 986-8772
Email: info@natsap.org
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