Please complete this order form for materials to promote HPV Vaccination at your clinic/organization in the month of August. All materials will be provided at no cost to you.  We only ask that you please send photos of your materials on display.

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* 8. Please enter your mailing information below:

Take the Pledge!
Commitment of signing the Campaign Partner Pledge

• Plan & Implement at least one activity to increase HPV Vaccination rates in your practice or community for Alaska HPV Vaccination Month (August 2023)

• Develop a follow-up plan to complete the HPV vaccination series for those you reached

• Share your story with us to help inspire Partners next year

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* 9. Select one or more activities your organization will implement for Alaska HPV Vaccination Month (August 2023)

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* 10. Do you have any questions or need support to implement any of these activities? If yes, someone from the HPVCancerFreeAK Team will contact you within 7 business days.

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* 11. Please upload your logo for our Campaign Partners webpage

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