Autism Impact Award Enquiries

Please complete this form to enquire about our Impact Award and a member of our training team will be in touch within 7 working days.

Name

First Name

Last Name

Phone

(###)

###

####

Name of organisation/school/community group

How many people are within your organisation/school/community group?

Where did you hear about our training?

Thank you for completing this form

By ticking this box, I confirm that I am happy to receive information from Autism NI including direct marketing and emails (Please note you can stop receiving this at any time by calling 02890401729 or selecting unsubscribe in the email).