Wiley College

Laptop Mailing Request Form

Student ID#*
Name*
First Last
Wiley Email Address*
Phone*
Hardware Request*
- Laptop
- Wifi Hotspot
- Laptop + Wifi Hotspot
Delivery Option*
- I will pick up my laptop
- Please mail my laptop
Pickup Date*
- Tuesday, August 25, 2020 | 2pm - 4pm
- Another Pickup Date
Pickup Date*
Mailing Address (Where the package will be mailed)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Current Classification*
T-Shirt Size*