Bremo COVID vaccine extra dose list

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Bremo COVID vaccine extra dose list

*** BREMO PHARMACY CURRENTLY HAS THE MODERNA VACCINE WHICH IS ONLY APPROVED FOR THOSE 18 AND OVER. PLEASE DO NOT SIGN UP IF YOU ARE UNDER 18 AS WE CANNOT VACCINATE YOU ***

Read below before submitting:
- Being on this list does NOT guarantee you a dose.
- We are only able to provide extra doses to those who have not yet been vaccinated.
- Please do not call to inquire where you are on the list. Our staff will not have access to this information.

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Name *

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Phone Number *

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Distance from Bremo (2002 Staples Mill Rd) *

0-5 minutes

6-10 minutes

11-20 minutes

21-30 minutes

Over 30 minutes

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