Certification Materials & Giveaways Order Form Due to the pandemic, PNCB staff will be working remotely and unable to process mailings. If you need materials, please contact info@pncb.org about our digital options. Question Title * 1. To receive your order, provide your preferred mailing address in full. For ease of delivery, you may prefer to have your items sent to a home address. At this time, PNCB is only able to ship to the United States and Canada. Name: * Hospital/Healthcare Facility: Address: * Address 2: City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Email Address: * Phone Number: Question Title * 2. What is your title/role? Question Title * 3. Do you need your items by a certain date? Please let us know.Note: To ensure delivery by your deadline, orders must be placed at least 3 weeks in advance. Orders placed less than 3 weeks from a deadline will be fulfilled as quickly as possible, but PNCB cannot ensure delivery by the requested deadline. MM/DD/YYYY Date Question Title PNCB's Wall of Distinction Poster Honor your CPNs and CPNPs with this 18” x 24" color poster and share with the public what it means to have certified pediatric nursing professionals on staff. Order one for your hospital or per unit. Question Title * 4. Wall of Distinction Poster. Quantity: Question Title Certified Pediatric Nurse (CPN) Poster 12” x 18" CPN poster Question Title * 5. Certified Pediatric Nurse (CPN) Poster. Quantity: Question Title Thermometer-Style Goal Poster: Certified Pediatric Nurse (CPN) Exam 11” x 17" poster Question Title * 6. Thermometer-Style Goal Poster (CPN). Quantity: Question Title General Practice Exam Rack Cards: Certified Pediatric Nurse Offers RNs interested in certification and exam candidates a concise overview of eligibility requirements, the application process, and other important details. Question Title * 7. CPN Exam Rack Cards. Quantity: Question Title Advanced Practice Exam Brochures: Certified Pediatric Nurse Practitioner - Primary CareOffers exam candidates a concise overview of eligibility requirements, the application process, and other important details. Question Title * 8. CPNP-PC Exam Brochures. Quantity: Question Title Advanced Practice Exam Brochures: Certified Pediatric Nurse Practitioner - Acute CareOffers exam candidates a concise overview of eligibility requirements, the application process, and other important details. Question Title * 9. CPNP-AC Exam Brochures. Quantity: Question Title Advanced Practice Exam Brochures: Pediatric Primary Care Mental Health SpecialistOffers exam candidates a concise overview of eligibility requirements, the application process, and other important details. Question Title * 10. PMHS Exam Brochures. Quantity: Question Title “Why Become a Certified Pediatric Nurse?” Flyer This 8.5” x 11” flyer highlights the benefits and unique characteristics of the PNCB’s Certified Pediatric Nurse (CPN®) credential. Question Title * 11. “Why Become a Certified Pediatric Nurse?” Flyer. Quantity: Question Title "Am I Ready to Test?" Checklist This 8.5” x 11” flyer provides a step-by-step checklist to help you plan and prepare for your exam. Question Title * 12. “Am I ready to Test?” Checklist. Quantity: Question Title Exam Invitation Postcards - Certified Pediatric Nurse Share these handy postcards to encourage others to get certified! Question Title * 13. Exam Invitation Postcards - Certified Pediatric Nurse (CPN). Quantity: Question Title * 14. Would you like a small giveaway for your nurses or your event? Let us know approximately how many to provide. Have a question? Don't see something you need? Contact PNCB directly at info@pncb.org. Submit