Lynn Organization Rapid Antigen Test Kit Request Form

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Lynn Organization Rapid Antigen Test Kit Request Form

Request form for organizations in Lynn that are willing to volunteer to help distribute test kits to their organization's population.

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* Indicates required question

Organization Name *

Your answer

Point of Contact *

Your answer

Address *

Your answer

Phone *

Your answer

Email *

Your answer

Weblink *

Your answer

Service Mission *

Your answer

Individuals served per Month *

Your answer

By checking this box, your organization agrees to report on the number of kits distributed and the number left when asked by Lynn City Hall in order to make sure we are directing resources where needed *

Agree

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