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UZBL Sample Request Form
1. Tell Us About You
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Organization
(Required)
State/Region
(Required)
State / Province / Region
2. Tell Us About Your Technology Initiative
Device Type
(Required)
Please Select
Acer Chromebook 11 (C720)
Acer Chromebook 11 (C732)
Acer Chromebook 11 (C733)
Acer Chromebook 11 (C740)
Acer Chromebook 11 (C771)
Acer Chromebook 11 (CB3)
Acer Chromebook 311 (C721)
Acer Chromebook 311 (C722)
Acer Chromebook 712 (C871)
Acer Chromebook R752T
Acer Chromebook R753T
Acer Chromebook Spin 11
Acer Chromebook Spin 311
Acer R 11 738T
Acer Spin Chromebook 511
Acer Spin Chromebook 512
Acer Switch 5
Acer Tab 10
Apple iPad (2nd/3rd/4th Gen)
Apple iPad 10.2" (7th/8th/9th Gen)
Apple iPad 9.7 (5th/6th Gen)
Apple iPad Air
Apple iPad Air 10.5"
Apple iPad Air 10.9"
Apple iPad Air 2
Apple iPad Mini
Apple iPad Mini 2
Apple iPad Mini 3
Apple iPad Mini 4
Apple iPad Mini 5
Apple iPad Mini 6
Apple iPad Pro 10.5
Apple iPad Pro 12.9
Apple MacBook Air 11
Apple MacBook Air 13
Apple MacBook Pro 13
ASUS Chromebook C200
ASUS Chromebook C202
ASUS Chromebook C202SA
ASUS Chromebook C203XA
ASUS Chromebook C204
ASUS Chromebook C204EE
ASUS Chromebook Flip C214
Dell 3110/3100 Chromebook 2-in-1
Dell 3110/3100 Chromebook Clamshell
Dell Chromebook 11 3120
Dell Chromebook 11 3180
Dell Chromebook 11 3189
Dell Chromebook 13 3380
Dell Chromebook 5190
Dell Chromebook 5190 2-in-1
Dell Latitude 11 3180
Dell Latitude 11 3189
Dell Latitude 11 3380
Dell Latitude 11" 5175
Dell Latitude 13 5310 2-in-1
Dell Latitude 3190
Dell Latitude 3300
Dell Latitude 5285 2-in-1
Dell Latitude 5289
Dell Latitude 5290 2-in-1
Dell Latitude 7389 2-in-1
Google Nexus 10
Google Nexus 7
Google Nexus 9
Headphone or Headset
HP Chromebook x360 11 MK G3 EE
HP Chromebook 11 G5
HP Chromebook 11 G5 EE
HP Chromebook 11 G6 EE
HP Chromebook 11 G7 EE
HP Chromebook 11 G8/A EE
HP Chromebook 11 G9 EE
HP Chromebook 11 MK G9 EE
HP Chromebook 14 G6
HP Chromebook 14 G7
HP Chromebook G5 11"
HP Chromebook G5 14"
HP Chromebook x360 11 G1 EE
HP Chromebook x360 11 G2 EE
HP Chromebook x360 11 G3 EE
HP Chromebook x360 11 G4 EE
HP Chromebook x360 11 MK G3 EE
HP Chromebook/Stream 11 G4
HP Chromebook/Stream 14 G4
HP Elite x2 1012 12"
HP Elitebook x360 1030 G2
HP EliteBook X360 1030 G2
HP Elitebook x360 1030 G3
HP Elitebook x360 1030 G4
HP ProBook 11 x360 G1 EE
HP ProBook x360 11 G1 EE
HP ProBook X360 11 G2 EE
HP ProBook x360 11 G3 EE
HP ProBook x360 11 G4 EE
HP ProBook x360 11 G5/G6 EE
HP Stream 11 Pro G4 EE
HP x360 310 G2 Convertible PC
Lenovo 100e
Lenovo 100e Gen 3
Lenovo 100e Gen2
Lenovo 300e
Lenovo 300e Gen 2
Lenovo 300e Gen 3
Lenovo 500e
Lenovo 500e Gen 2
Lenovo 500e Gen 3
Lenovo Miix 510
Lenovo Miix 520
Lenovo Miix 700
Lenovo Miix 720
Lenovo N21
Lenovo N22
Lenovo N23
Lenovo N24 Windows
Lenovo N42
Lenovo Yoga 11e Chromebook
Lenovo Yoga 11e Windows
Lenovo Yoga 2 10"
Lenovo Yoga 2 8"
Microsoft Surface 3
Microsoft Surface Pro 3
Microsoft Surface Pro 4
Microsoft Surface Pro 5
Other
Other Devices
Device Quantity
(Required)
Please Select
Under 25
26 - 100
101 - 999
1000+
Purchasing Timeframe
(Required)
Please Select
ASAP
< 5 Months
6 - 12 months
1 year +
Are you required to purchase through a reseller?
Please Select
Yes
No
Comments
This field is for validation purposes and should be left unchanged.