The Immunization Action Coalition (IAC), with funding support from CDC, is providing “I Got My COVID-19 Vaccine” buttons and stickers -- in both English and Spanish -- free of charge (including shipping and handling) to organizations or groups that provide or promote COVID-19 vaccinations in the U.S., such as pharmacies, hospitals, clinics, public health agencies, college health systems, and civic or faith-based health advocacy groups.

You may share this information with others in your area offering or promoting COVID-19 vaccination.
 
Before completing this request form, please read the following:
  • Submit a separate request for each shipping location.  
  • Buttons and stickers offered here have been purchased and shipped with federal funds; they are not for resale.
  • If we run out and are unable to fulfill your request, we will notify you by email.
Questions about completing this form? Email admininfo@immunize.org.

Note: All fields marked with an asterisk (*) are required.

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* 1. This program is for organizations or groups that provide or promote COVID-19 vaccination in the United States.

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* 2. Your First Name

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* 3. Your Last Name

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* 4. Your Email Address

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* 5. Confirm Your Email Address

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* 6. Your Phone Number

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* 7. Your Job Title

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* 8. Organization Name (please spell out)

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* 9. Organizational category (select one):

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* 10. Shipping Contact Name (if someone other than you)

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* 11. Shipping Address (Make sure you list an address where someone will be available to accept the delivery)

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* 14. Who are the intended recipients of the buttons?
(check all that apply)

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* 17. This program is for organizations or groups that provide or promote COVID-19 vaccination in the United States.

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