2013 GREYHOUND ADOPTION PERSON OF THE YEAR NOMINATION

1. Please enter name of nominee.

Please enter name of nominee.

2. Please enter the full mailing address of nominee.

Please enter the full mailing address of nominee.

3. Please enter the email address of the nominee.

Please enter the email address of the nominee.

4. Please enter the telephone number of nominee with area code.

Please enter the telephone number of nominee with area code.

5. If nominee is affiliated with an adoption organization, please provide the name and mailing address of the organization.

If nominee is affiliated with an adoption organization, please provide the name and mailing address of the organization.

6. Please enter name of person submitting nomination.

Please enter name of person submitting nomination.

7. Please enter full mailing address of person submitting nomination.

Please enter full mailing address of person submitting nomination.

8. Please provide email address of nominating person.

Please provide email address of nominating person.

9. Please enter telephone number with area code of person submitting nomination.

Please enter telephone number with area code of person submitting nomination.

10. If nominating person is affiliated with an adoption organization, please provide name and address of organization here.

If nominating person is affiliated with an adoption organization, please provide name and address of organization here.

11. Please tell us why you believe your nominee should win this award. What exceptional contributions has the individual made to greyhound adoption?

Please tell us why you believe your nominee should win this award. What exceptional contributions has the individual made to greyhound adoption?