"Quality software and services for special people"

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1Student Qualification Form

The information that you provide will help us to determine if the student you are representing is qualified to receive our software which is provided free of charge. The only cost to your school or organization will be for shipping and handling.

Please Note:  Software shipped to Hawaii and Puerto Rico will have an additional cost in shipping and handling.  Function Key Software will only work with students and schools or organizations in the United States.

All information provided on this form will be kept strictly confidential. Please view our privacy policy by clicking this link Privacy Policy for more information.

Please provide the following contact information (Teacher/Principal/Administrator).

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