Phone Make A Pledge My healthcare setting would like to join the coalition of healthcare practices committed to ensuring that all children and families have access to life-saving vaccines. Name Of Practice * Email Address * Address * Phone Number * COMMUNITY IMMUNITY (Over $1000) ACTIVE IMMUNITY (Between $500-$1000) MATERNAL IMMUNITY (Up to $500) Practice Quote * Amount * Date * Agreement I will send a check within 30 days to: PO Box 52642 Durham, NC 27717
