Consumer Consultation Enrollment Form

To participate in the consumer consultations, provide feedback on consumer products and to have input into the future of accessible design of statements and documents, please complete the following information to be included in our database.

Name *

Address *

City *

Province / State *

Postal / Zip *

Telephone *

Email *

Will you be using adaptive technologies to communicate with us?

No

Yes

If yes, please let us know which device or system you are using:

Please let us know which products you would be interested in reviewing:

braille

large print

audio

online documents

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Math question * 2 + 3 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.