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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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