Institutional Quote Request

Institutional Quote Request
Submitter Information

The official quote will be sent to the Primary Contact listed below, and you will be cc'd.
Your Name*
Email Address*
Title*
Phone Number

Area CodePhone Number
Institution Details
School Name*
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Quote Request
I would like a quote for these ICE products:*

ICE Video LibraryStrokeHelp Video CoursesICE DocuLearn
Desired Start Date (optional)

MonthDayYear
Would you like to add the ICE Video Library to this quote request?
ICE subscribers receive a 50% discount on DocuLearn pricing when using DocuLearn as a required text in class.
Program Information
Program Information*
Number of DocuLearn Students*
You may estimate student numbers if they are not finalized.
Contacts

Add at least one Primary Contact for renewal notices and product updates.
Account Contacts*
Subscription Access*

ICE Account: Users create a unique password using their school email address.Single Sign-On (SSO): Allows users to log in with their existing school credentials.
Please ensure you have added a Technical Contact or Librarian in the "Account Contacts" section above. We will work directly with this person to coordinate the setup.
Final Details
Additional Comments/Questions (optional)
Enter program information below.*
School Name
School Name*
Number of Campuses*
Campus Location(s)*
Program(s)
Number of Students
If your class size has not been finalized, please enter a range.
Should be Empty:

Institutional Quote Request

Submitter Information

Institution Details

Quote Request

Program Information

Contacts

Final Details