Forbes AAC Funding Portal - Account Activation Form

Please complete the contact information form so we can add you to our funding portal database, which will then allow you to create an account on the Forbes AAC funding portal.

Practitioners: Please use your work contact information.

Contact Details

Full Name *

E-mail *

We must have a valid email to set up your account

Company *

Work or Home Phone *

Work Extension

Mobile Phone

Address *

City *

State *

ZIP Code *

Country *

Questions

Are you an AAC Professional or End User/Caregiver?

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