Online Nomination Form

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Animal Hall of Fame > Nominate an Animal > Online Nomination Form


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	NJ Veterinary Medical Association 390 Amwell Road, Suite 402 Hillsborough, NJ 08844 info@njvma.org Phone: 908-281-0918 Fax: 908-450-1286

The 18th Annual NJVMA Animal Hall of Fame

Nomination deadline is December 1, 2012.
Inductees will be announced by December 31, 2012.

The 18th Annual NJVMA Animal Hall of Fame Luncheon will take place in March, 2013.

Steps to complete online application and requirements:

Complete the form below.
Upload required documents:
1. Letter of nomination from animal's owner or veterinarian, explaining how the animal exhibited special abilities when it mattered: how the animal demonstrated unselfish and/or courageous accomplishments; give examples of the animal's affection, loyalty and companionship; or describe the ways in which it provided therapeutic benefits such as exercise, socialization or laughter. Emphasize the human-animal bond.
2. Two additional letters of support are permitted, as are photographs, drawings and newspaper articles.

Note: By nominating an animal, the owner grants permission for the use of the animal's image, likeness and information to be used for publicity by the NJVMA Animal Hall of Fame.

Once you hit submit, a confirmation e-mail will be sent to you.

	Form and List
	Owner Name:* Owner Address:* Owner Telephone:* Owner E-mail:* Nominee Name (Pet):* Nominee Date of Birth:* Calendar Sex:* FemaleMale Species:* Color:* Breed:* Name of Veterinarian:* Practice Name:* Veterinarian Telephone:* Veterinarian E-mail: Are you the pet's owner or veterinarian:* OwnerVeterinarian Letter of Nomination:* I give permission for this submission:* By clicking here I give permission for this submission of nomination. Security Code (Code is case-sensitive): Enter the code shown above in the box below * required Submit Cancel

	Additional Documents
	You may submit additional supporting documents via mail to: New Jersey Veterinary Medical Association Animal Hall of Fame 390 Amwell Road, Suite 402 Hillsborough, NJ 08844 Or, you may submit additional supporting documents to us via email at: info@njvma.org (Please include the nominee's name in the subject bar.)