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For Proloquo2Go App Donation Program Use Only Date Action status of eligibility provided to AT Department Manager a Adjusted Gross Income b Number of dependents multiplied by 3740. This information will be available to AssistiveWare in an anonymized form only. Signature received. The information included in this application is confidential and for the Proloquo2Go App Donation Program use only. I give the Proloquo2Go App Donation Program AAC revie.

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