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Immunization Clinic Resources Order Form
Please complete this form to place an order for complimentary Immunization Clinic Resources offered by CSL Seqirus, to help support your flu vaccination goals.
Company Name
*
Name
*
Email
*
Phone
*
Instructions:
Choose which item(s) you would like to order by selecting a quantity from the drop-down menu.
PLEASE NOTE: Resource orders can only be shipped to a US mailing address
Flu Clinic Resource Poster - General Population
Please select quantity
1
2
3
4
5
Raise the importance of flu vaccination among all your patients with a point-of-care poster. - USA-FLU360-23-0044
Flu Clinic Resource Poster - Older Adults Population
Please select quantity
1
2
3
4
5
Raise the importance of flu vaccination among your patients 65 years and older with a dedicated point-of-care poster. - USA FLU360 23 0045
Flu Clinic Resource Poster – Pediatric Population
Please select quantity
1
2
3
4
5
Raise the importance of flu vaccination among parents of your pediatric patients with a dedicated point-of-care poster. - USA-FLU360-23-0043
Flu Clinic Resource Desk Sign - General Population
Please select quantity
1
2
3
4
5
Remind all your patients of the importance of flu vaccination this season with an educational desk sign. - USA-FLU360-23-0058
Flu Clinic Resource - Patient Sticker - Green
Please select quantity
20
40
60
Promote flu vaccination by sharing an "I got my flu shot" sticker with your vaccinated patients. - USA FLU360 23 0054 - Green
Flu Clinic Resource - Patient Sticker - Teal
Please select quantity
20
40
60
Promote flu vaccination by sharing a "flu shot" sticker with your vaccinated patients. - USA FLU360 23 0054 - Teal
Flu Clinic Resource - Pins - Green
Please select quantity
1
2
3
4
5
Encourage vaccination and dialogue with your patients via a "Fighting the flu starts with you. Book a flu shot" green pin for your clinic staff to wear at point-of-care. - USA FLU360 23 0055
Shipping
Ship to Attn:
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Street Address line 1
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Street Address line 2
City
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State
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Zip Code
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Country
Please Select Quantity
United States
Additional Delivery Instructions
(c) 2025 Seqirus USA Inc. 25 Deforest Ave, Summit NJ 079101, USA.
