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Dr. Fit Nurse Booking Request
Please take a moment to provide the information below and a team member will follow up with your request shortly.
Name
*
First
Last
Email
*
Phone
*
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Company
*
Title
*
I'm interested in booking Dr. Fit Nurse for:
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A Workshop
An Event (as a guest speaker)
Other
If other, please describe the event type below:
If known, please tell us the date, location & purpose of your event:
What topics/themes would you like Dr. Fit Nurse to talk about?
*
T.R.Y. (Transform & Renew Yourself) Again
The B6 Woman
Developing & Maintaining a Healthy Lifestyle
Overcoming Adversity
Nursing
Nurse Education
Financial Freedom
Other
If other, please decribe below:
Is there any additional information that you'd like to share?
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