Loan Request form - Skip to main content

To request your loan from us, please complete the form below. We will then be in touch to confirm your booking. If you would like to know more about our loans process please get in touch with us.

Fields marked with an * are required

Details of individual loaning the device

This is the person responsible for the device when it is on loan.

Device list

All of our communications aids are supplied with Grid 3 installed. Our loans do not come with a mount unless required.

Grid Pad Go

Small, thin and lightweight, the Grid Pad Go provides the perfect solution for people using touch or switch access on a portable device.

Grid Pad Pro

Each Grid Pad Pro model is packed full of features including high-quality audio, multiple access options and Servus environment control. Both the 11 and 13 inch models are ready for mounting.

Grid Pad Eye

With all the features of the Grid Pad Pro but with integrated eye gaze access. You can choose from Alea or myGaze cameras depending on the device.

Apple devices

Apple devices are supplied with the Grid Player app installed and a Bluetooth speaker.

Accessories and head pointers

From switches to head pointing, we offer a broad range of devices to help you interact with your communication aid and home.

If you are only loaning an accessory carriage for a 2 week loan is free.

Mounting options

If you require a mount for your device we can include a desk or floor mount as part of your device loan.

Please let us know of any additional requirements.

Acceptance of Liability

I agree that the selected devices(s) and all accessories are my responsibility until returned to Smartbox AT and I am responsible for any costs incurred due to damage or loss.

I will have the system and accessories packed in the original packing and ready to be collected by courier at the end of the loan period. I understand that I will be liable for damages that occur in transit due to inadequate packaging.

If you have any questions or queries about our loans service please get in touch:

+44 (0) 1684 578868

Request a quote

Quickly put together what you need and send it over to us.

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