Become a Partner - Champions for Vaccine Education, Equity + Progress

Champions for Vaccine Education, Equity and Progress (CVEEP) is comprised of more than 250 patient, provider, and public health organizations that have come together to advance education and equity around respiratory vaccines.

Members support the project’s mission by participating in and amplifying activities and evidence-based materials that promote open dialogue, engagement, and effective communication around approved respiratory vaccines in the U.S.

CHAMPIONS FOR VACCINE EDUCATION, EQUITY AND PROGRESS MEMBER SIGN-ON

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 Champions for Vaccine Education, Equity and Progress 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.