Please submit your nomination before July 19, 2019 for consideration.

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* 1. Your name:

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* 2. Nominee's Name:

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* 3. Nominee’s Organization:

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* 4. Nominee’s Title:

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* 5. Please mark the area(s) in which this nominee works in animal welfare:

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* 6. Please tell us why you feel this nominee is a good consideration for the 2015 NM Animal Advocate of the Year Award. Describe the activities this nominee is involved in that help animals around New Mexico. Tell us about any ground-breaking programs, projects or perspectives this nominee is engaged in.

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* 7. If there are numbers available that demonstrate the impact this nominee has had on animals in his/her area, please provide them:

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* 8. If your nominee is awarded the 2019 Animal Advocate of the Year Award, are you available to join us on Friday, August 9 in Albuquerque to assist with the award presentation? (We can provided attendance to the award lunch even if you are not registered for the rest of the New Mexico Humane Conference).

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