Educator Credit Agreement
Modular Robotics
1860 38th Street
Boulder, CO 80301


If you would like to order and pay using a purchase order (PO), please complete this agreement in its entirety a. After carefully reading and agreeing to these Terms and Conditions, sign the end of this document.

TO RECEIVE TAX EXEMPT STATUS: Please email your proof of tax exempt information to

If you need a copy of our W-9 one is available here:

Questions? Ready to send in your PO? Contact our Account Manager:

Email address *
Educator Information: *
School or Educational Program Name:
Your answer
Contact Name: *
Your answer
Contact Email: *
Your answer
Contact Phone *
Your answer
Billing Contact Name: *
Your answer
Billing Email: *
Your answer
Billing Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip: *
Your answer
Telephone: *
Your answer
Fax: *
Your answer
Have you sent your tax exempt certificate/letter to *
Any additional billing requests?
(Must be mailed to billing address, etc)
Your answer
May we contact you later to see what you're doing with the items you've purchased? *
How did you hear about Cubelets?
Your answer
Anything else we should know about how or where you'll be using our products?
Your answer
Applicant consents to the following Terms and Conditions:
The terms and conditions set forth in this document will govern all transactions between the Educator and Modular Robotics.

Delinquent Payment:
Payment by check is due within 30 days. If a payment is received after 30 days, the Educator will then be required to pay up front for any further orders.

Notice of Defects/Returns During Shipping:
The Educator must make any claims of defects relating to damage during shipping, shortages, quality, or order specification within the first 7 days after the receipt of merchandise. It is the responsibility of Educator to inspect shipments upon receipt, that all merchandise delivered matches its order.

Returns are only allowed in the event of a problem in quality or specification and with authorization by the Account Manager at Modular Robotics, reached at

Products are covered for one year from the date of purchase by Educator. If your item is defective or malfunctioning, we would be happy to attempt to resolve your issue. Technical issues can often be resolved without the need to ship things back to us. If the Educator requires technical assistance, please contact us at

Any transactions with Modular Robotics are governed by the laws of Colorado.

Agreement and Acknowledgement:
Educator has carefully read and agree to these Terms and Conditions. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND ACCEPT ALL TERMS AND CONDITIONS IN THIS DOCUMENT. Signatures must be by an authorized representative of your organization.

Educator name here will be considered your signature: *
Your answer
Educator title: *
Your answer
Date Educator has signed: *
Your answer
A copy of your responses will be emailed to the address you provided.
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