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On-line order form

Only people who are dependent on the use of special facilities are entitled to use a eurokey (wheelchair users, ostomy wearers, people with a visual disability or a walking disability, and people with chronic incontinency problems).

To order the eurokey on-line, complete the form below and send it to us together with a certificate of disability that shows clearly the type of impairment (medical certificate or equivalent document) as a PDF or image (jpg, TIF etc.). 

You will then receive from the coordination centre an order confirmation with a payment slip. On receipt of your payment your key will be sent to you.

Order form

It is compulsory to complete fields marked *.


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Declaration of data protection

Your details are treated confidentially and not used for other purposes. The certificate is destroyed immediately after use.

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Eurokey Spendenkonto: PC 40-623403-1