US Loan Request 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. Fields marked with an * are required

Your details

To help us track your loan request please let us know your details.

I am a…

SLP

User / Potential user

Parent / caregiver

Your First Name

Your Last Name

Your Email

This is the main contact email for your loan request

Your Phone

Client details

Client Last Name

Client First Name

Caregiver Name

Caregiver Email

Delivery address

This is where we will dispatch your loan device to.

First name

Last name

Organization

Delivery phone number

Address

City State Zip/ Postal Code

Phone (if different, this will be passed to our courier service)

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

Loan device selection

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

Grid Pad

Grid Pad 10s

Grid Pad 15

Grid Pad 15 with Lumin-i eye gaze

Grid Pad 15 with with Alea

Our most flexible solution for people with complex access and communication needs. Grid Pad 10s is a 10-inch multi-access designed for users who want a portable and rugged communication aid with a second screen. The Grid Pad 12 and 15 are dedicated devices and has been designed in collaboration with AAC users. A long 15-hour battery life, rugged design and multiple access options support communication all day every day.

Touch Pad

Touch pad

Touch Pad is a lightweight 1kg device, perfect for AAC users who need a fast and portable way to communicate. It has a long battery life, clear amplified sound, and is powered by our flagship Grid software

Hidden

Talk Pad

Talk Pad 8

Talk Pad 10

Talk Pad 13

Talk Pad is a powerful, portable and rugged AAC device, with a 10 hour battery life and loud speaker. Designed for everyday life, the case is shock absorbent and scratch resistant to protect against knocks and bumps. Powered by Grid for iPad. Grid for iPad is a complete AAC solution that includes instant access to resources for symbol and text communication. The app includes content for different ages, conditions and levels of literacy.

Additional information or requests