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 Or $500 Amazon.com Gift Card.

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:

Quote/Testimonial:

(Maximum characters: 900)
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The deadline for submitting an entry is on or before Friday, December 11th, 2009.

Terms
* You must submit your entry by December 11th to be eligible for the Kindle DX or $500 Amazon.com Gift Card.
* You may submit multiple entries if you have multiple HealthStream solutions that helped generate Successful
Outcomes.
* The winner will be chosen at random from all available entries after the cut-off date of December 11th.
* 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.