One-Time Free Radon Test Application You must have JavaScript enabled to use this form. Eligibility I confirm that I, or someone who has lived with me in my primary residence, has ever been diagnosed with lung cancer. I confirm that I have never received a free radon test from Lung Sask before. Personal Info First Name Last Name Phone Number Email Opt-in? (optional) Sign up for Lung Sask's monthly newsletter? Yes Home Address Mailing Address City/Town Province - Select -Saskatchewan Postal Code I confirm that: I have read and fully understand the guidelines that govern the application and selection process, and I have provided answers to all questions which apply to me. I certify that all information contained on this form is true and correct. I understand that any false statements intentionally given on this application will disqualify my application and will affect my ability to access future funding. I agree to Lung Sask's Privacy Policy and understand my submission and related technical details will be collected to secure Lung Sask services, prevent fraud, and meet legal obligations. I confirm and agree Leave this field blank
