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Walmart and Sam\'s Club Vaccine Administration Record and Informed Consent Dr. Kelly, P. NPI:1982869467 4136686684 1 Cooper Plaza Camden, NJ 08103Manual Reporting Initials:Section A (please print
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It is a form used by Walmart for reporting offsite events.
Any individual or organization hosting an offsite event in collaboration with Walmart.
The form should be completed with details of the offsite event and submitted to Walmart for review.
The purpose is to inform Walmart about offsite events involving their brand or products.
Details such as event location, date, duration, expected attendees, and any promotional materials.
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