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  1. 1 Purchasing & Organization Information
  2. 2 Billing
  3. 3 Payer
  4. 4 Shipping & License
  5. 5 Review

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1Purchasing & Organization Information

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Do you already have a Seqirus Account? (optional)

If you do, please enter your Seqirus account number to pre-populate your customer information. Please contact Seqirus Customer Services at (855)-358-8966 to obtain your account number.

Set Up Your Account

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Purchasing Contact Information

Please enter the contact information of the person responsible for purchasing your organization's influenza vaccines.

Organization Information

Please enter your organization's information for which you purchase your influenza vaccine.