Tell Us What You Think || Site Map || Contact Us
   Skip Navigation  
Latan LogoPicture of man using assistive technologyLATAN assists individuals with disabilities to achieve a higher quality of life and greater independence through increased access to assistive technology as part of their daily livesPicture of a boy sitting in a wheelchair
HomeGiving OpportunitiesPrograms & ServicesNew TechnologyNews & PublicationsVolunteer OpportunitiesResourcesAccessibility GuidelinesPolicy & Legislation
WORKSHOP REGISTRATION FORM

Make Font Size Larger Make Font Size Smaller  Text Size
Date of Workshop:
Location:
Topic:
   
Participant Information
   
Name:
Organization Name:
Address:
City:
State:
Zip Code:
Phone:
Email Address:
Parish:
   
How did you learn about the workshop?
   
LATAN Website Your Agency
LATAN E-Newsletter Word of Mouth
LATAN Great Possibilities Other
LATAN Flyer  
   
In the effort to better assist you, please indicate any special accommodations you may need.
   
Submit    Reset
previous pageLouisiana Assistive Technology Access NetworkBack To Home
© 2006 LATAN | 3042 Old Forge Drive | Baton Rouge, LA 70808 | 225.925.9500 | 800.270.6185 | 225.925.9560 Fax | info@latan.org | Privacy Policy