Top Executive Nomination - The Healthcare Technology Report

In order for your nomination to count, all of the asterisks items must be filled in. Your response to question #11 carries the most weight in our evaluation of the executive. Should a nominee be selected as an awardee (top percentile), they will have the option to participate in the award as there is an associated publishing cost, which will be provided at the time of selection.
1.Add your executive nomination for(Required.)
2.Executive’s Name(Required.)
3.Executive’s Title(Required.)
4.Company Name(Required.)
5.How would you best categorize the Company?(Required.)
6.How do you know the executive?(Required.)
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