For More Information

You may submit your contact information automatically and a MEAP employee will contact you within 2-4 business days. If you would prefer not to complete the form or would like a more immediate response, please feel free to contact our office at (763) 425-0792.

Please note that MEAP respects your privacy and will keep all personal information confidential under all limits of the law.

*Indicates that this is a required field.

First Name:	*
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:	*
Daytime Phone:	*
Evening Phone:
Email:	*
I would like more info about:	Employment Opportunities
	Treatment and Services Other (note in comments)
Comments:	Enter comments here!

MINNESOTA EARLY AUTISM PROJECT, INC.
7242 Forestview Lane North
Maple Grove, MN 55369
Office 763-425-0792 Fax 763-425-4615

Copyright 2005 Minnesota Early Autism Project, Inc. (MEAP). All rights reserved.