Expression of Interest — Blind / Autistic Users

Get notified first when the Hueyify Platform is available for you to experience. Unleash the power of Hueyify! It's FREE for those who have severe vision impairment, legally blind, blind or has autism because we believe the World Wide Web should be easily accessible and fair for all to use.

Fields denoted with * are required fields that can not be left blank.

About You

Your information isn't shared with any third party and is used strictly by Hueyify only. If you are an Organisation and wish to register for all your Members then do not use this form and use the Organisation Registration form instead.

Title *

First Name *

Surname *

Gender *

Age *

Country Location *

Contact Information

Email *

Phone Number

Phone numbers must be entered in International format. eg: +61399998888

Disabilities

This is used to help us understand how to help you better when using our Platform.

Has Disabilities *

Disability Type

If you have selected "Other" then please write the condition below.

Disability Other

Associated Communities / Organisations / Clubs

If you are a member of a community, organisation or club then please list them all below.

Details 1

Details 2

Details 3

Details 4

Details 5

Details 6

Feedback / Suggestions

If you have any feedback or suggestions on what you want to see improved when you browse the Internet then let us know. We take all Feedback and Suggestions seriously.

Feedback