Customer Contact Tracing
Boardwalk Billiards
Contact Tracing Customer Info. for COVID-19
*Required by State Regulations

COVID-19 Контактная информационная форма по отслеживанию
Обязательный!
Нам нужна контактная информация для COVID-19
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Name: *
полное имя (first name, last name)
Phone Number: *
телефонный номер:
Address: *
адрес:
Have you been COVID-19 Vaccinated? *
Submit
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