Preinscripción para Vacunas para COVID-19 | Pre-registration for Vaccines for COVID-19

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LETI es una institución que ayuda a cualquier individuo de muchas formas. Ya sea que se trate sobre una cita covid o de conectarlo con recursos valiosos, LETI tiene algo que ofrecer a todos.
Esta es una preinscripción para personas que son elegibles y desean recibir la vacuna de COVID Y vive dentro del condado de Snohomish, Washington. Tambien para los que quieran recibir el booster shot de COVID.

LETI is an institution that helps any individual in many ways. Whether its making a covid appointment or connecting you to valuable resources, LETI has something to offer to anyone.
This is a pre-registration for people who are eligible and want to receive the COVID vaccine AND live within the county of Snohomish, Washington. Also for people who wish to receive the booster shot for COVID.

Nombre | First Name *

Apellido | Last Name *

Dirección de Casa | Home Address *

City | Ciudad *

Zip Code | Código Postal *

Número de Teléfono | Phone Number *

Correo Electrónico | Email Address *

Fecha de Nacimiento | Birthdate *

YYYY

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