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REQUEST A NEW ACCOUNT
Please fill out the form below and click the "Create Account" button to request a new MassMATCH ATRC Online Device Inventory account. Just remember, passwords must be no less than six characters and must contain at least one alpha character and one numeric character.
Fields marked with a
are required.
Personal Information
First Name:
Last Name:
Address Line 1:
Address Line 2:
City:
State:
Zip:
Phone Number 1:
(Example: 888-888-8888)
Phone Number 2:
Phone Number 3:
Account Information
Email:
Verify Email:
Password:
Verify Password:
Password Clue:
No Clue Given
What is your favorite color?
What is your home town?
What is your pet's name?
Clue Answer:
I am a:
Family Member, Guardian, or Authorized Representative
Individual with a disability
Other
Representative of Community Living
Representative of Education
Representative of Employment
Representative of Health, Allied Health, and Rehabilitation
Representative of Technology
How did you hear about us?
Easter Seals MA
MassMATCH
United Cerebral Palsy
Web Search
Other
New Account Agreement Terms
Agreement Terms:
Welcome to the Online device Inventory of the MassMATCH Assistive Technology Regional Center (ATRC), powered by At4All. MassMATCH is a program for Massachusetts residents with disabilities who may have assistive technology needs, their family members, service providers, schools, and agencies. This online inventory allows anyone to freely search/browse the list of available assistive technology devices and to submit a device loan request to ATRC staff. However, in order to submit an online device loan request, you must read and accept this agreement and create an account. Please take a moment to review the MassMATCH AT Regional Center’s Policies and Procedures before submitting a request. All the personal information we collect (email, mailing address and/or phone number) is intended for ATRC use only. We do not sell or provide your personal information to third-parties.
I AGREE to these terms
I DO NOT agree to these terms
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