US Loan Request form
Smartbox offers a loan program for those looking to trial a device prior to purchase. Our loan period can range from 2 – 4 weeks, depending on the requirements of your insurer.
Please contact us if your insurer requires a longer loan for funding eligibility.
This form is for residents of the United States. For our UK and Ireland loans complete the UK loan form
To request your complimentary Smartbox loan, the following information will be required:
Your details, client name (this is the person who will be using the device), SLP information, shipping details
After you submit your request, we will be in touch to discuss next steps.
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