COVID-19 Rapid Testing Kits - Request Form
Business Name
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Contact Person First Name
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Contact Person Last Name
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Contact Person Phone Number
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Contact Person Email Address
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Number of Rapid Tests Requested
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25 tests (1 box)
50 tests (2 boxes)
75 tests (3 boxes)
100 tests (4 boxes)
Tests are only provided in multiples of 25.
Terms and Conditions
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I have read the terms and conditions, and would like to take advantage of this program. Please send me an "Alberta Rapid Screening Tests Application" An “Alberta Rapid Screening Tests Application” is required and a signed copy must be returned to the Greater Parkland Regional Chamber of Commerce to agree to the Terms and Conditions, prior to your order being placed. Once your business enters into the agreement, a member of the GPRC team will contact your business within 3 working days to complete the remainder of the forms. We will inform you when your tests are ready for pick up at the GPRC office in Stony Plain. You will be responsible for the program at your workplace from there on. Your organization is responsible for providing reports EVERY MONDAY to the GPRC. Failure to do so, and your business will be ineligible to receive additional kits.
Upload File
Please upload the Alberta Rapid Screening Tests Application.