TB Test Form
Cost: $25
First Name
*
As it appears on your government ID
Last Name
*
As it appears on your government ID
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Payment Method
*
Cash
Card
Fee
*
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TB Test
$
25.00
Payment Methods
Credit Card
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Submit
Should be Empty: