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COVID Info
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Make a Request
COVID Test Kit Request
COVID Home Test Kit (Single/Family)
Each household can receive a maximum of five COVID home test kits. Depending on our stock availability, brands may vary.
Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Pickup Location:
(Required)
Deaf Community Support Center: Griggs Midway Bldg, 1821 University Ave West, Saint Paul, MN, 55104
Date
(Required)
MM slash DD slash YYYY
Time
9:00am
9:15am
9:30am
9:45am
10:00am
10:15am
10:30am
10:45am
11:00am
11:15am
11:30am
11:45am
12:00pm
12:15pm
12:30pm
12:45pm
1:00pm
1:15pm
1:30pm
1:45pm
2:00pm
2:15pm
2:30pm
2:45pm
3:00pm
3:15pm
3:30pm
3:45pm
4:00pm
4:15pm
4:30pm
Number of COVID Test Kits Needed (1-5)
Please enter a number from
1
to
5
.
COVID Home Test Kit (BULK)
A large group of people needs a COVID home test kit. Depending on our stock availability, brands may vary.
Name of School/Organization/Company
Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Pickup/Dropoff Location:
(Required)
Deaf Community Support Center: Griggs Midway Bldg, 1821 University Ave West, Saint Paul, MN, 55104
Drop it off to us
Drop-off Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Date
(Required)
MM slash DD slash YYYY
Time
9:00am
9:15am
9:30am
9:45am
10:00am
10:15am
10:30am
10:45am
11:00am
11:15am
11:30am
11:45am
12:00pm
12:15pm
12:30pm
12:45pm
1:00pm
1:15pm
1:30pm
1:45pm
2:00pm
2:15pm
2:30pm
2:45pm
3:00pm
3:15pm
3:30pm
3:45pm
4:00pm
4:15pm
4:30pm
Number of COVID Test Kits Needed (10-1000)
Please enter a number from
10
to
1000
.
