COVID Test Kit Request – KIS Deaf Community Support Center

DCSC HOTLINE: 651-299-0748

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)

Time

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)

Time

Number of COVID Test Kits Needed (10-1000)

Please enter a number from 10 to 1000.

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