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  Nursing Organization of the Year Nomination Form

If you are interested, please fill out the form below:

    Your Name *

    Your Email *

    Your Phone *

    Organization Name *

    Organization Type *

    Organization Contact Person (if known)

    Organization Email *

    Organization Phone Number *

    Organization Website

    Organization Mailing Address *

    Instagram Handle

    Facebook Page Link

    LinkedIn Page Link

    Organization Logo (if available) *

    Tell us why this organization deserves to be recognized as Nursing Organization of the Year *

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