Copy of Michigan
Please select from the below responses:Do you attest that has your permission tPlease choose your Market: Option 1 & 2 requiredPlease provide name: option 1 or 2 requiredEmail: I do not want vaccinePlease provide employee ID: option 1 or 2 requiredDuplicate (Not including blanks)Phone number: Option 1 RequiredChoose your Market: Do not want vaccineName: I do not want vaccineEmployee ID: I do not want vaccineCreated Date
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1I would like to get a COVID-19 vaccineYesMichiganminnie mouseminnie.mouse@disney.comDuplicate555121205/28/21 11:16 AM
2I do not want to get a COVID-19 vaccinemickey.mouse@disney.comNew Yorkmickey mouse06/02/21 12:57 PM
3I would like to get a COVID-19 vaccineMichiganminnie mouseminnie.mouse@disney.comDuplicate06/02/21 12:57 PM
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506/02/21 12:48 PM