Select Topic Funding Product Inquiry Support Other
First Name
Last Name
Email
Phone
Country --Please select-- United States Canada Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Côte d’Ivoire Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong S.A.R., China Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Viet Nam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon
Postcode
How do you relate to AAC? AAC User or Caregiver Charity/Foundation/Organization Education Funding/Insurance Healthcare
Which role best describes you? AAC User Family Legal Guardian Parent Partner Power of Attorney Sibling Spouse Other
Which role best describes you? Administration Advisory and Consultancy Business Development Communications Customer Services Evaluator Executive Leadership Finance Fundraising IT Legal and Compliance Lending Library Management Marketing Project Management Research Volunteer Coordination Other
Which role best describes you? AAC or AT Specialist Administration Counseling Executive Leadership Finance General Education Teacher IT Learning Assistant Occupational Therapy Paraprofessional Physical Therapy Preschool Education Psychology Purchasing Rehabilitation Engineering Special Education Teacher Speech Language Pathology/Therapy Other
Which role best describes you? Accounting Administration Auditing Benefits Advisory Case Management Claims Management Finance Insurance Specialist Insurance Underwriting Legal and Compliance Other
Which role best describes you? AAC or AT Specialist Administration Doctor or Specialist Physician Executive Leadership Eye Care Specialist Finance IT Management Medical Leadership Nurse Practitioner Occupational Therapy Physical Therapy Purchasing Rehabilitation Engineering Speech Language Pathology/Therapy Teaching Other
Company/Organization
Which Product(s) are you interested in? Accessible Literacy Learning Boardmaker 7 Chargers Communicator 5 EM-12 Keyguards Mounts PCEye Protective Cases TD Browse TD Control TD I-110 TD I-Series TD Navio TD Phone TD Pilot TD Snap TD Talk Windows Control 2
How does the person using assistive technology prefer to interact with on-screen content? Text Based Symbol Based Both
How will you fund your purchase? -- Please Select -- Crowd-funding Government Agency Grant/Sponsorship Health Insurance Medico Legal Non-profit Organization/Charity Public Procurement School District Self-funded Speacialized Services I need help figuring out my options
Please provide any additional details so that we can better assist you
Comments
By submitting your email you agree to be contacted by Tobii Dynavox and Tobii Dynavox Authorized Partners in your region. For further information, please consult our Privacy Notice.