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Radon Test Kit Challenge
Village of Nakusp SIGN UP FORM
7
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1
Full Name
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First Name
Last Name
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2
Email
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3
Phone Number
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4
If the phone number is a cell number, confirm if you would like to receive text message updates.
(this is a possible pilot program this year)
Yes
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5
Please choose the registration type:
If the free Radon Test Kit option is at 0 left, please select Waiting List
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6
There are two pick up locations available. Please select your choice.
Nakusp Public Library
Village of Nakusp Municipal Hall
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7
Additional comments:
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