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Japanese Encephalitis B Vaccine Registration Form
March 2024-Due to the national shortage of Japanese Encephalitis B (Jap B) Vaccines we are offering a REGISTRATION procedure-simply complete ALL the fields below. We are awaiting new stock and when it arrives we will contact you-we guarantee that! We may email you from time to time with stock updates. REGISTER NOW .
Your Name
*
First
Last
Best Contact Number
*
Email
*
Please call me to book Jap B when in stock
*
Tick
Number of people requiring Jap B vaccines
*
Please select
1
2
3
4
5
6
7
8
Estimated Departure Date
*
DD
/
MM
/
YY
