Vaccination Proof Submissions

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Covid-19 Vaccination Card Submissions

First Name

Last Name

Email

Phone

Submit Vaccination Card Image

Upload File

Upload supported file (Max 15MB)

Initials

Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

Phone:

425-658-4046
Address:

10822 117th Pl NE

Kirkland, Washington 98033

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