Tablet Request
Sign up by using the form below. Our Customer Care Team will review your details. After they've processed your order, you'll receive a Samsung Galaxy tablet, protective case, and charging cord in the mail.  This program is restricted to one tablet per household.

Sign in to Google to save your progress. Learn more
Email *
Enter First and Last Name *
Street Address *
Apartment Number
City *
State *
Zipcode *
Phone Number  *
Account Number (optional)
Required
Required
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of The McClatchy Company.