COVID-19 COMMUNITY TESTING EVENT - SIGN UP FORM
Event Dates: Tuesday, March 2 - Tuesday, March 30, 2021
Peace Missionary Baptist Church Address: 2608 NC-55, Durham, NC 27713
For more information, please contact us at 919.598.9888
Email address *
Full Name *
Phone Number *
When would you to schedule your test? Please select a day below. *
Please select the time period you'd like to arrive for your test below. *
I understand that I am required to wear a mask upon my arrival. *
Required
A copy of your responses will be emailed to the address you provided.
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