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We're supporting our AAP-CA3 members in promoting the COVID-19 vaccine. Please fill out this form to request your #IGotTheShot items, and we'll do our best to fulfill your request while supplies last. Email info@aapca3.org with any questions. Make sure to hit SUBMIT at the bottom of the survey.

* First & Last Name, Title
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* Medical Group
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* Email address
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How many #IGotTheShot STICKERS would you like for your office? (Max 250, limited supply) Shipping by late June.
0/50
How many #IGotTheShot BANDAGES would you like for your office? (Max 500) Shipping by late June.
0/50
How many #IGotTheShot VACCINE CARD HOLDERS would you like for your office? (Max 20, limited supply available soon).
0/50
How many #IGotTheShot BUTTONS would you like for your office? (Max 20, limited supply available now).
0/50
* Street Address For Shipping
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* City, State, Zip Code for shipping
0/250