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COVID-19 Vaccine Education and Equity Project
Member Sign-On Pledge

As a member of the COVID-19 Vaccine Education and Equity Project, our organization agrees to support the overall mission of the project and commits to participating in, and amplifying activities and project-approved materials that promote open dialogue, engagement and effective communication around approved COVID-19 vaccines in the U.S. By completing this form, I certify that I am an authorized representative of the organization and agree to allow the organization’s name and logo to be used on campaign materials, including the COVID-19 Vaccine Education and Equity Project’s website, social media channels, and press releases.

ORGANIZATION

Name of Organization (as it should be listed)

Organization Website

Organization Twitter Handle

REPRESENTATIVE

Name of Authorized Representative

Title of Authorized Representative

E-mail Address of Authorized Representative

Phone Number

State

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I certify that I am an authorized representative of the organization.

Join Us

COVID-19 Vaccine Education and Equity Project Member Sign-On Pledge

ORGANIZATION

REPRESENTATIVE

COVID-19 Vaccine Education and Equity Project
Member Sign-On Pledge