Recommendation for W3C on Accessibility for Deaf, Hard of Hearing, and Speech-Impaired Consumers
Donald L. Moore
630.405.6270 VP
E-mail: mooredlm@gmail.com

 


[Original Form Design / Recommendation Dated 2001:
http://home.comcast.net/~mooredlm/accessibility/communications_w3csuggestion2.htm ]

Updated Example of Web Form that Helps to Identify How
Deaf, Hard of Hearing, and Speech-Impaired
Consumers Should be Contacted

Draft October 2010


Name
Address
Address
City
State
 Zip
Email
Wireless Email
Home Phone
 VP TTD Voice
Work Phone
 VP TTD Voice
Fax
Preferred Way(s)
to be Contacted
E-mail Phone (Voice)
Wireless Email Phone (VP / TTD)
Fax
Additional Contact Instructions or Information

Copyright © 2010, Donald L. Moore
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