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ASAT may also decline requests if the website or mission statement contains content not consistent with the tenets above. Signature // Please complete print sign and mail this form Or email as an attachment to newsletter asatonline. ASAT Advertising Application Name of Organization Street Address City State Zip Code Contact Person Telephone Number Website http // Mission Statement and/or Identification of Product/Service to be Advertised I am interested in Full page ad in Science in Autism Treatment Quarter page ad in Science in Autism Treatment Half page ad in Science in Autism Treatment Online advertising on ASAT s website If the advertisement is approved I will pay Via check payable to ASAT Through Pay Pal on ASAT s website As a possible ASAT advertiser I am authorized to report that my organization is in support of the following tenets 1. All treatments for individuals with autism should be guided by the best available scientific information* 2. Service providers have a responsibility to rely on treatments that have been shown to be safe and effective in scientifically rigorous peer-reviewed research studies. treatments and treatments that lack validation* 4. Consumers should be informed that any treatment lacking scientific support should be pursued with great caution* 5. Objective data should be used when making clinical decisions. I understand that ASAT reserves the right to decline any advertising request if the content of ad contains reference to treatments that are not deemed scientifically established or otherwise determined to be inconsistent with the ASAT mission as determined through review by the ASAT Board of Directors. ASAT may also decline requests if the website or mission statement contains content not consistent with the tenets above. Signature // Please complete print sign and mail this form Or email as an attachment to newsletter asatonline. ASAT Advertising Application Name of Organization Street Address City State Zip Code Contact Person Telephone Number Website http // Mission Statement and/or Identification of Product/Service to be Advertised I am interested in Full page ad in Science in Autism Treatment Quarter page ad in Science in Autism Treatment Half page ad in Science in Autism Treatment Online advertising on ASAT s website If the advertisement is approved I will pay Via check payable to ASAT Through Pay Pal on ASAT s website As a possible ASAT advertiser I am authorized to report that my organization is in support of the following tenets 1. All treatments for individuals with autism should be guided by the best available scientific information* 2. All treatments for individuals with autism should be guided by the best available scientific information* 2. Service providers have a responsibility to rely on treatments that have been shown to be safe and effective in scientifically rigorous peer-reviewed research studies. Service providers have a responsibility to rely on treatments that have been shown to be safe and effective in scientifically rigorous peer-reviewed research studies. treatments and treatments that lack validation* 4. Consumers should be informed that any treatment lacking scientific support should be pursued with great caution* 5.

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