COVID-19 Vaccine Card - Form - Kehillat Beth Israel Congregation

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COVID-19 Vaccine Card

* First Name

* Last Name

My Email - For Confirmation

* PLEASE UPLOAD VACCINATION CARD BELOW

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Mon, 18 October 2021 12 Cheshvan 5782

Kehillat Beth Israel
1400 Coldrey Ave
Ottawa, ON K1Z 7P9

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