Nominate a Medical Worker
Only entrants 18 and older from the contiguous United States are eligible per the terms of our giveaway.
Your Name:
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First Name
Last Name
Your email:
*
example@example.com
Medical Workers Name:
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First Name
Last Name
Medical Workers Organization or Contact Information
*
If you can please let us know why this Medical Worker should win an S. Kind and Co. Dream Ring.
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Select this box to confirm that the nominated medical worker is over 18 years of age and is a legal resident of the contiguous united states
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I Confirm
Submit
Should be Empty: