Apply for Registration and/or Accreditation

    Please complete the following information to apply or find out more:

    Name:

    Organisation:

    Contact email:

    Contact telephone number:

    Your Interest:

    What assistive technology service would you like to register or get accredited?

    If Other please describe:

    What aspect of the service are you involved in? (Tick all that apply)

    Name of the service or organisation you would like to register or get accredited:

    The full address of the service or organisation you would like to register or get accredited:

    The number of contracts/services you would like to register or get accredited: