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Home
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Gift of Inspiration
Gift of Inspiration
National Office Furniture would like to do our part in assisting your healthcare organization by giving you an opportunity to win a $25,000 Gift of Inspiration. Registration open through March 31, 2010.
Entry forms may also be mailed to: National Office Furniture, Attn: Lisa Schmidt, 1205 Kimball Blvd, Jasper, IN 47549.
Limit one (1) entry per person. Multiple entries will be disregarded.
* Denotes required field
First Name: *
Last Name: *
Title: *
Business Address: *
City: *
State: *
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
ZipCode: *
Business Phone: *
(only numbers, including area code)
Email Address: *
Healthcare Organization Name: *
City: *
State: *
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Type of Organization: *
-- Select a value --
Hospital
Clinic
Assisted Living/Skilled Nursing
Medical/Dental Office
Home Healthcare
Other
If Other, please describe:
If my entry is selected for the $25,000 Gift of Inspiration, my organization will use the gift to: *
How did you hear about the Gift Of Inspiration Drawing? *
-- Select a value --
Internet
Email from National Office Furniture
Trade Publication
Healthcare Design Conference
Office Furniture Dealer
Group Purchasing Organization
Design Firm
Other
If you heard about the Gift of Inspiration from someone other than National Office Furniture, please list them below:
My organization is planning remodeling or new construction projects:
-- Select a value --
0-3 Months
3-6 Months
6-12 Months
More than 12 Months
Not at this Time
Person in charge of purchasing furniture for this organization:
First Name:
Last Name:
Email Address:
Phone Number:
(only numbers, including area code)
If my entry is selected for the $25,000 Gift of Inspiration, I agree to allow National Office Furniture to use my name
and my organization's name in marketing efforts.
I wish to receive future communication from National.
I would like a National Sales Representative to contact me.
By clicking the submit button you agree to the
Official Rules
of this promotion.
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