order form
Poetry booklet
Titled "Reflections of self, through the eyes of Autism"
I am an adult with high functioning autism that is working on raising
awareness of autistic spectrum disorders. One of my favorite interests is
creating poetry. I enjoy writing poetry from my own insight and the way in
which I see the world around me. I am self-publishing my poetry and
articles, and will use portions of the profits to assist people of autism
within the state of Ohio, which is my home state.
The two chosen organizations the profits of this booklet will benefit are:
the Autism Society of Ohio for educational/awareness purposes, and the Amigo
Family Counseling, "Friendship groups", as partial tuitions for diagnosed
children of HFA or aspergers syndrome, who have no other means to pay for
their child to benefit from this program.
If you are interested in purchasing a booklet, please fill in the
information and send to the address below. The cost will be $22.50 per
booklet.
Name: _________________________________________________________
Address: ________________________________________________________
City/State ______________________________________________________
Phone number or e-mail address: _________________________________
How many booklets do you need to purchase: ______________________
** If you do not wish to purchase a booklet, but would like to give a
donation to support either project please specify which group you would like
for you donation to go to,(Autism Society of Ohio, or Amigo Family
counseling) and mail your donations to:
Sondra Williams
7326 Cimmaron Station
Columbus, Ohio 43235
22-10-02 rev 24-11-02
to index.