Mosaics / Create Your Own Mosaics / Mosaic Builder Set Application

Mosaic Builder Set Application

Our Lending Library is available only to qualifying organizations within the US

Complete this form to borrow a Mosaic Builder set. All fields are required.

Start Date

Please enter the date in the format mm/dd/yyyy

The set must be returned within 6 weeks of receipt

Your Details

This field is required
This field is required
This field is required
Please enter a valid email address
Please enter a valid email address
This field is required

Your Organization

This field is required
This field is required
This field is required

Organization Shipping Address

Where we should ship the set within the USA. (no PO boxes please)

This field is required
This field is required
This field is required

Agreement Terms

Please read each line and if in agreement check the box.

Please sign the form
Additional Notes

This agreement becomes null and void in the event of incorrect or fraudulent information submitted by the user (you). You Can Do The Rubik's Cube reserves the right to review all applications and to refuse service to applicants deemed high risk.