Keep Up The Rates Campaign Supporting Organization Sign-On Pledge
As a supporting organization for the Keep Up The Rates campaign, our organization agrees to support and amplify the goals of the campaign to ensure otimal use of vaccines curprently available to protect all individuals in the US. By completing this form, I certify that I am an authorized representative of the organization and agree to allow the organization’s name and logo to be used on campaign materials, including the NFID website, social media channels, and press releases.
Name of Organization (as it should be listed)
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Organization Website
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Organization Twitter Handle
Name of Authorized Representative
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First Name
Last Name
Title of Authorized Representative
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E-mail Address of Authorized Representative
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Phone Number
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Area Code
Phone Number
State
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West Virginia
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