International Transplant Nurses Society - Golden Triangle Chapter
                             2012 Transplant Nurses Day Contest
                           My Transplant Nurse: My Guiding Light! 
                                             Official Entry Form
Sponsored by the International Transplant Nurses Society
Name__________________________________________
Address________________________________________
City____________________________________________
State/Province__________________________________
Zip/Postal Code_________________________________
Country________________________________________
Email address___________________________________
Date___________________________________________
Daytime phone__________________________________
Signature_______________________________________
(of parent or guardian of entrant is under 18)

Eligibility: The contest is open to interested transplant patients currently or formerly under the care of an ITNS-member transplant nurse.

Deadline: All submissions are due by Monday, April 2.

Prizes: One winning submission will be chosen for publication in a future issue of the ITNS Newsletter and for possible use in ITNS materials such as press releases and web sites.

Submit Entries To:
ITNS
Box 351
1739 E. Carson Street
Pittsburgh, PA 15203-1700
USA
Fax: +1 412-343-4867
or email to Holly@itns.org with subject line “essay”