Asperger's Syndrome Institute®

Printable Order Form

This form allows you to create an order form which you can print and submit with your check or money order by mail to order our products.

How to order:
  1. Select the item(s) you are purchasing (one item per row)
  2. Enter the quantity for each item and your total will be computed for you
  3. Complete your shipping and billing addresses
  4. Print and mail with check or money order
  5. Please note: We can only accept checks or money orders. No credit card orders at this time.


Please send checks made to:

Rosalind Hoffman
A.S.I.
P.O. Box 113
Dillsburg, PA. 17019

Allow one to two weeks for delivery.

Please email us to inquire about P.O.s. or telephone orders:

Prices include shipping and handling within the US

Be sure to check out our other products at Soundpsych.com:

Product Qty Unit Price Ext Price
Subtotal:
Click here if you live in Sales Tax:
Grand Total:

Billing Info
Name:
Company:
Address1:
Address2:
City, State, Zip:
Phone:
Email address:

Ship To
Name:
Company:
Address1:
Address2:
City, State, Zip:
Phone:
Email address: