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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
Missing Out Poster Gen Pop - 16x20 Exp. 5/31/26
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-SEQ-25-0028
Missing Out Poster Older Pop - 16x20 Exp. 5/31/26
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-SEQ-25-0032
Missing Out Poster Peds - 16x20 Exp. 5/31/26
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-SEQ-25-0030
Burden of Flu Infographic Poster- 16x20 Exp. 5/31/26
Please select quantity
1
2
3
4
5
USA-SEQ-25-0043
Missing Out Poster Gen Pop - 8x11 Exp. 5/31/26
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-SEQ-25-0029
Missing Out Poster Peds - 8x11 Exp. 5/31/26
Please select quantity
1
2
3
4
5
USA-SEQ-25-0031
Missing Out Poster Older Pop - 8x11 Exp. 5/31/26
Please select quantity
1
2
3
4
5
USA-SEQ-25-0033
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
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City
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Zip Code
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Country
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United States
Additional Delivery Instructions
(c) 2025 Seqirus USA Inc. 25 Deforest Ave, Summit NJ 079101, USA.
