COVID-19 Vaccine Clinic
Are you interested in having our staff provide COVID-19 vaccines at your business or organization? Fill out the survey below and one of our staff members will reach out to organize the COVID-19 Vaccine Clinic.
Organizer's name
*
Where would you like to have the vaccine clinic? Include address and zip code.
*
Who is the Point of Contact?
*
Phone number to call and further discuss dates and times
*
-
Area Code
Phone Number
Best email address to provide a follow up review.
*
example@example.com
Submit
Should be Empty: