Gibson Test Application

First Name*

Last Name*

Email*

Street*

State*

City*

Zip Code*

I am a(n)*
Plan to Use
Which version do you plan to use?*
Which language do you plan to use?
Business/Employer Name

Highest Level of Education*
College Name

Degree Awarded

Field of Study

Graduate College Name

Agreement *

This Gibson Test Wholesale Pricing Agreement, executed today, date of application submission, is between LearningRx with an address of 5085 List Drive, Suite 200, Colorado Springs, CO 80919 and Wholesaler, whose name and address are tied to the submitted application.

As part of the wholesale pricing agreement, I understand and agree that:

  • I will not sell the Gibson Test online.
  • As of the date of this agreement, the Gibson Test is listed online at a price of $97.
  • Lower pricing may be used offline, such as in training centers, learning centers, and in other situations where I have an existing relationship with a client.
  • This contract may be terminated at any time with 30-day written notice by LearningRx.

Checking box counts as signature on the agreement