Complete this form to nominate yourself or someone else for one of the OJNI Virtual Awards. Further instructions for payment (either online or by check) will appear on the next screen, once you complete and submit the application.
COMPLETE THE FORM - THE PAYMENT AREA WILL APPEAR ON NEXT SCREEN
COMPLETE THE FORM - MAKE CHECK PAYABLE TO OJNIC AND SEND TO:
c/o Dr. Dee McGonigle
100 Serenity Lane
Kittanning, PA 16201
*Please note that the nomination cannot be processed until we receive the payment.