CanSAR Registry

Your voluntary participation will assist scientists in designing additional research studies. It will also help us convince public policy makers to put more resources into eliminating this serious, but preventable public health risk.  A free radon test kit will be mailed to the address below.   Please allow 3-4 weeks for delivery.

Name

Address

City , State Zip

Phone

Email

Oncologist: Date Diagnosed:

Age years old

Ever Smoked?: Years Smoked:

Radon Test Done?: Radon Test Result: pCi/L

Want Free Test?:

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