Contact information
To request a laptop, complete the form below. Complete all fields. Use your FDTC email. You will be placed on the first come first serve list and contacted via email or phone, within 24 hours, when a laptop is available for pickup.

First Name *
Last Name *
Address *
City *
State *
Zip Code *
FDTC Student ID Number *
FDTC Email (Not your personal email) *
Phone Number *
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