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MMA Annual Meeting Award Nomination Form
Award Nomination Form
Nomination Form
Nominee
Name*
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I would like to nominate this person for:*
Community Service Award
MMA Medical Student Award
MMA Physician Leadership in Quality Award
MMA Minority Affairs Meritorious Service Award
Physician Communicator Award
Describe why this person should receive the award:*
Nomination submitted by
Name*
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Telephone
Email
Please contact
Vicki Westling
at 612/362-3764 with questions.
Submit
* Required
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Copyright 2009 Minnesota Medical Association
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