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Companies Specializing In Products For The Blind.

Update Listing Form.

     Use this form to update information about your company's current 
listing. You must fill in 

1.   Your name.
2.   E-Mail address.
3.   Password (if any).
4.   Your agency's name.

Then please fill in only those items that have changed.


* Do you work for this company?
___Yes - I work for this company. 
___No - I don't work for this company.
* Contact's Name: __________
* Contact's E-Mail: __________
  Password: __________ (If you used one.)
  Company Web Site URL: http://_________________________
  Company Name: __________
  Suite #: 
  Company Street Address:
  P. O. Box: __________
  City: __________
  State: __________
  Zip Code: __________
  Country: __________
  Voice - Phone: (___)___-____
  TDD - Phone: (___)___-____
  TOLL FREE - Phone: (___)___-____
  FAX - Phone: (___)___-____


E-Mail 

     You can list up to 5 E-Mail addresses. You can also provide a 
description or person's name for each of the 5 E-Mail addresses. 

E-Mail:   Name or description - name@company.com
E-Mail 1: 
E-Mail 2: 
E-Mail 3: 
E-Mail 4: 
E-Mail 5: 


Company Description 

     Your company description must meet the following requirements and may 
be edited for length and/or clarity. 

1. Be no more than 75 words. 
2. Should only describe the products available and avoid hyperbole. (Like 
the plague ... or was that cliches. :) ) 


Company Publications 

     List the publication(s) produced by your company; catalogues, 
brochures, magazines, newspapers, etc. Include the name and how often each 
is published. Please put one publication per line or separate multiple 
items with a blank line. This list is not intended for listing articles 
published by individuals or companies in journals, magazines, newspapers 
or other periodicals. 

1. 
2. 
3. 
4. 
5. 


Type of products sold 

Choose all that apply.

___  Books - Braille, large print, audio.
___  Braille - Braillers, slate, stylus, printers, Braille paper. 
___  Electronics - Recorders, radios, TVs, telephones, VCRs, Stereos, DVD. 
___  Games - cards, board games, computer games. 
___  Home - Sewing, cleaning. 
___  Kitchen - Measuring devices, guides, timers. 
___  Magnifiers - Closed circuit TV, lenses, screen magnifying programs. 
___  Medical - scales, thermometers, diabetes related, blood pressure. 
___  OCR - systems, scanners, programs. 
___  Screen readers - speech output, Braille output. 
___  Time - watches, clocks. 
___  White canes - canes, tips, other mobility items. 
___  Other - please specify. _________________________


Comments: 


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