Vaccine Forms
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Vaccine Forms

Vaccine Forms. Small and large quantities to fit offices or pop-ups as well as facilities with multiple locations. 1part, 2 sided. 8 1/2" x 14". Stock, imprint and custom options available. 50 per package. Increase efficiency in the office. Get the most up-to-date patient informationi

Product Options:

  • Item # VJO-WM52-NS24, Vaccine Intake form (general questionnaire) - Plain
  • Item # VJO-WM53-NS24, Vaccine Intake form (COVID questionnaire) - Plain
  • Item # VJO-WM54-NS24, Vaccine Intake form (general questionnaire) - Imprint
  • Item # VJO-WM55-NS24, Vaccine Intake form (COVID questionnaire) - Imprint
Quantity 2500 5000 10000
Item #VJO-WM52-NS24, Vaccine Intake form (general questionnaire) - Plain
Product Option: Vaccine Intake form (general questionnaire) - Plain
Includes: blank product		 $0.05 $0.05 $0.05
Item #VJO-WM53-NS24, Vaccine Intake form (COVID questionnaire) - Plain $0.05 $0.05 $0.05
Item #VJO-WM54-NS24, Vaccine Intake form (general questionnaire) - Imprint $0.07 $0.07 $0.07
Item #VJO-WM55-NS24, Vaccine Intake form (COVID questionnaire) - Imprint $0.07 $0.07 $0.07

* You will be able to enter notes and/or submit your artwork on the next page.

White
Colors
White
Material
Paper
Item Numbers
VJO-WM52-NS24, VJO-WM53-NS24, VJO-WM54-NS24, VJO-WM55-NS24

Imprint

Imprint Method: Printed

Full Color Process: No

Personalization: Yes

Sold Unimprinted: No

Imprint Method

  • Printed

    • Charge Type: Set-up Charge (Per Order)

      Quantity1
      Price$37.10

      Price Includes: Yes

Artwork & Proof

  • Paper Proof

    Add 2 additional working days to production time.

    • Charge Type: Proof Charge (Per Quantity)

      Quantity1
      Price$15

      Price Includes: Yes

Color

Black

Imprint Options

  • Imprint Option

    Numbering Option
    • Consecutive Numbering

  • Imprint Option

    Imprint Area
    • In the Description Area: Add up to 7 lines of type
    • Your Company Address - 1 line of type
    • Your Company Name - 1 line of type
    • Your Company Name and Address

Production and Shipping

  • Rush Time

    Rush Service

    If production schedule allows. Based on time constraints and complexity of the order.

    • Charge Type: Rush Service Charge (Other)

      Quantity1
      PriceQuoted

      Price Includes: N/A

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