Merge 3D Quote Request Form
Thank you for your interest in Merge 3D! Please complete the form below so our team can recommend the best license option, package, and implementation support for your school, district, library, makerspace, or classroom.
Sign in to Google to save your progress. Learn more
Contact Information
Full Name *
Job Title / Role *
Email *
Phone Number
School / Organization Name *
District Name (or N/A) *
Address Information
Shipping Address *

Street Address, City, State, ZIP/Postal Code, Country

Is the billing address the same as the shipping address? *
Required
Billing Address (If not the same as shipping address)

Street Address, City, State, ZIP/Postal Code, Country

About Your Interest in Merge
How do you plan to use Merge?
What are you most interested in?
Product Interest
Which Merge product are you interested in?
 *
Required
License Interest
Which license type are you interested in? *
Required
If you are interested in a school license, how many students are enrolled at the school?
If you are interested in a district license, how many students are in the district?
How many teachers or staff members will need access?
How many schools or campuses should be included?
Package Preference
Would you like a complete package or would you prefer to purchase items separately? *
Required
Hardware and Add-Ons
How many Merge Cubes would you like to add?
How many Mega Merge Cubes would you like to add?
How many 3D Glasses would you like to add?
Services and Support
Are you interested in assisted setup?
Are you interested in professional development?
What type of support would be most helpful for your team (optional)?
Timeline and Purchasing Details
When are you hoping to implement Merge (optional)?
Do you need a quote by a specific date (optional)?
MM
/
DD
/
YYYY
Are you tax exempt?
Where did you hear about Merge (optional)?
If you discovered Merge at a conference, please indicate the name of the conference in the 'Other' field.
Is there anything else we should know before preparing your quote?
Submit
A Merge representative will review your request and follow up with a quote or recommendation based on your instructional goals, student count, package preference, and implementation needs.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Merge Labs, Inc..

Does this form look suspicious? Report

Google Forms