Successful Outcomes Entry Form


Provide a brief description of Successful Outcomes your organization has experienced with the help of HealthStream’s research and learning solutions. When you click Submit, you'll automatically be entered into the drawing to win a Kindle DX.

To participate, please complete the form below:

First Name:
Last Name:
Email:
Company:
City:
State/Province:

Provide a brief description of your Successful Outcome here:

Product or Service:



The deadline for submitting an entry is on or before Wednesday, November 25th, 2009.


Terms
* You must submit your entry by November 25th to be eligible for the Kindle.
* You may submit multiple entries if you have multiple HealthStream solutions that helped generate Successful
   Outcomes.
* If you are the winner, you may substitute a Kindle DX instead of the $500 Gift Card to Amazon.com.
* The winner will be chosen at random from all available entries after the cut-off date of November 25th.
* By hitting submit, you are authorizing HealthStream to use your Successful Outcome in Heroes & Headlines,    Random Samples, and other marking materials. If at any time you wish for us not to share your Successful    Outcome, please let us know in writing and we will honor your request.