Impac Software: The Elekta Group

We are now accepting nominations for the IMPAC ‘Registrar of the Year’ to be honored during National Cancer Registrar’s Week. Please submit the following form to nominate yourself or a colleague for consideration. The deadline for nominations is March 31, 2008. Please contact Kymberly Calvo if you have any questions.

Registrar of the Year Nomination Form

Note! To ensure that your nomination is correctly processed, please complete all fields prior to pressing the Enter key on your keyboard or clicking on the Submit button appearing at the bottom of the form. * = required field.

Name of Nominee:		*
Title:		*
Institution:		*
Address 1:		*
Address 2:
City:		*
State/Province:		*
Postal Code:		*
Country:		*
Phone:		*
Fax:
Your Email:		*

Please describe why the nominee should be honored as the IMPAC Registrar of the Year. Please take into consideration how the nominee has impacted your registry, facility and community. (Please limit your response to 400 words.)		*

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