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Please add the following Organization or Individual to the list of 2006 nominees:
In order for nominees to receive full consideration, the following portion of this application
and the **attached Nomiee Endorsment 100 words or less must be filled out completely.

PLEASE PRINT

NOMINATOR INFORMATION:________________________________________
DATE SUBMITTED: _______________________________________________

(First Name)______________________________(Last Name) ___________________________

(Job Title/Position)______________________________________________________________

(Present Address, Street, City, State, Zip Code)

_______________________________________________________________________________

(Phone Number)_________________________________________________________________

(E-mail)________________________________________________________________________


NOMINEES INFORMATION:________________________________________

(First Name)_______________________________(Last Name)___________________________

(Job Title/Position)______________________________________________________________

(Present Address, Street, City, State, Zip Code)

_______________________________________________________________________________

(Phone Number)_________________________________________________________________

(E-mail)________________________________________________________________________

**ATTACH A SEPARATE SHEET OF PAPER FOR NOMINEE ENDORSEMENT

ALL PRINTED APPLICATIONS MAILED or FAXED, SHOULD BE SENT TO:

NMWFTA / Nomination
P.O. Box 22985-2985
SANTA FE, NM 87505
Phone / Fax #: (505) 466-1525
E-mail Address: animalweek@aol.com

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