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Assistive Technology Demonstration Online Form
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Please complete and submit the following form:
Name:
Organization:
Mailing Address:
Parish:
Email:
1. AT in which you are interested
(check all that apply; please list specific devices if desired):
Vision
Mobility
Communication
Speech
Hearing
2. Your purpose for replying:
Employment
Home Use
Educational Setting
Please provide us with all additional information you wish about assistive technology demonstrations.
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