<html><head><meta http-equiv="content-type" content="text/html; charset=utf-8"></head><body dir="auto"><br><br><div dir="ltr">Sent from my iPhone</div><div dir="ltr"><br>Begin forwarded message:<br><br></div><blockquote type="cite"><div dir="ltr"><b>From:</b> jdfmoon@gmail.com<br><b>Date:</b> April 3, 2021 at 10:59:49 AM MST<br><b>To:</b> nfba-phoenix@nfbnet.org<br><b>Subject:</b> <b>Vaccine Form for April 7 Event</b><br><br></div></blockquote><blockquote type="cite"><div dir="ltr"><meta http-equiv="Content-Type" content="text/html; charset=us-ascii"><meta name="Generator" content="Microsoft Word 15 (filtered medium)"><style><!--
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</o:shapelayout></xml><![endif]--><div class="WordSection1"><p class="MsoNormal">Hi Federation Family:<o:p></o:p></p><p class="MsoNormal">Attached is the Jansen vaccine consent form for this Wednesday’s event at SAAVI in Phoenix. If you need help filling it out, please let me know. Please fill this out and send to me by Monday. If you mark that you have insurance, you need to put all your insurance info. Easiest thing to do is to mark that you do not have private insurance then you can leave it blank.<o:p></o:p></p><p class="MsoNormal"> Take care,<o:p></o:p></p><p class="MsoNormal">Jordan Moon<o:p></o:p></p><p class="MsoNormal"> <o:p></o:p></p><p class="MsoNormal"><o:p> </o:p></p></div></div></blockquote></body></html>