Request Department Quote – Think Like a Nurse

For the most accurate quote possible, please answer all fields in their entirety. Your quote will be addressed within 1-2 business days, Monday - Friday.

Name*

First Last

School or organization name*

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Licensed Seats

To make an accurate quote possible, please let us know who will be included.

Who will the department of faculty include?*

Full-time faculty

Part-time or adjunct faculty

Both full-time and part-time adjunct faculty

Number of full-time faculty*

Number of part-time or adjunct faculty*

Billing Department

Please specify who we will need to have direct communication with in order to begin the registration process.

Decision Maker Name*

Decision Maker Email*

Decision Maker Phone*

Can we contact the decision maker?*

Yes

What do you need to strengthen student learning in your program?*

What questions do you have?*

Additional notes or questions

(Optional)

Phone

This field is for validation purposes and should be left unchanged.