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Demonstration Centre Registration Form
If you operate a demonstration lab, public information centre, training centre, or other assistive centre, you may be eligible for a number of free benefits. In some cases, we will also extend this offer to individuals who teach a class on AAC products, are doing a public presentation, or are doing something to directly promote our software. Aurora Systems now offers registered demonstration centres and individuals with the following:
To receive these benefits, submit the information requested below by email to
.
We will process your application and when you are approved, supply you with a registration
number, access to the full Aurora software download and any other information you require.
You can also print out this page and fax it filled in to (604)291-6310.
Fields with * next to them must be completed for this application to be processed.
| *Contact Name: | ______________________________________________________ |
| *Email Address: | ______________________________________________________ |
| *Centre Name: | ______________________________________________________ |
| Parent Organization: | ______________________________________________________ |
| *Address: | ______________________________________________________ |
| Address: | ______________________________________________________ |
| *City: | ______________________________________________________ |
| *State/Province: | ______________________________________________________ |
| *Zip/Postal Code: | ______________________________________________________ |
| *Country: | ______________________________________________________ |
| *Phone: (xxx)xxx-xxxx | ______________________________________________________ |
| Fax: (xxx)xxx-xxxx | ______________________________________________________ |
| Centre Website: | ______________________________________________________ |
| We offer public access to computers for product evaluation. |
| We perform evaluations to help clients select the best solution for them. |
| We are a not-for-profit organization. |
| We are operated by the state/provincial/federal government. |
| Please send brochures and pricing information by mail. |
| Please fax brochures and pricing information. |
| We sell products. (if yes, please include details below.) |
| We charge for services. (If yes, please include details below.) |
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Notice
Membership in this program is solely at the discretion of Aurora Systems, Inc. The benefits, costs, terms and conditions of this program are subject to change at any time.
By providing personal information on this form you consent to have Aurora Systems periodically send you product and marketing information. To discontinue this service, please contact Aurora Systems.
Copyright (C) 2008 Aurora Systems, Inc. All Rights Reserved.