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Office REGISTRATION
Register Your Office
1
Office INFORMATION
2
ORGANIZER INFORMATION
3
CLINIC SCHEDULE
Office INFORMATION
Office Name
*
Phone
*
Website
Address
*
City
*
State
*
California
Zip
*
County
*
Select
San Bernardino
Los Angeles
Orange
Estimated No. Of Members (Total)
*
Event location
Upload Office Logo
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ORGANIZER INFORMATION
First Name
*
Middle Name
Last Name
*
Title
Email Address
*
Retype Email Address
*
Direct Phone
Cell Phone
*
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CLINIC SCHEDULE
STEP
#1
SELECT 3 PREFERRED DATES
STEP
#2
SELECT 3 PREFERRED TIME SLOTS
11:00 AM
to
12:00 PM
12:00 PM
to
01:00 PM
01:00 PM
to
02:00 PM
02:00 PM
to
03:00 PM
03:00 PM
to
04:00 PM
04:00 PM
to
05:00 PM
STEP
#3
SELECT PREFERRED BRAND
Moderna
Pfizer
J&J
Recaptcha:
*
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PRIVATE INVITATION
xx
Records Failed to Insert, cause of Phone or email are not valid.
Download import template
Number of Employees Invited:
0
IMPORT EMPLOYEE LIST
Choose file
Import
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CLINIC REGISTRATION INVITATION
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Templates:
Employee Registration
Tag: {%CompanyName%}, {%EmployeeName%}, {%EmployeeRegistrationLink%}, {%eventDate%}
Email Subject
Senders Email
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