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: