VACCINATION VERIFICATION
ANTIGEN TESTING
PCR+NAAT TESTING
THERMAL SCANNING
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VACCINATION VERIFICATION
ANTIGEN TESTING
PCR+NAAT TESTING
THERMAL SCANNING
877-266-6935
Event Cancellation Form
Please fill out the form below to cancel your order. Upon completion, a copy of this form will be placed on file and your cancellation will be processed.
Primary Contact Person on Order
*
First Name
Last Name
Your Company (if applicable)
Company Name
Contracted Testing Date(s)
*
Enter a singular date or range of dates.
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Reason for Event Cancellation
*
Please confirm the statement below by marking the checkbox.
*
I am authorized to cancel this event and the services that EventScan was scheduled to provide. I understand that my initial order deposit is non-refundable and I am canceling my order effective immediately upon submission of this form. I understand that my deposit cannot be used towards another event.
Today's Date
*
-
Month
-
Day
Year
Date
Your Signature
*
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