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2012 ASPCA Humane Award Nomination - Public Service Award

2011 ASPCA Humane Award Nomination - Public Service Award (Firefighters, Law Enforcement Officers, etc.)

First Name:

Last Name:

Email:

Street 1:

Street 2:

City:

State:

Zip Code:

Yes, I would like to receive updates about important animal cruelty and pet care news

Provide the nominee's information below:

Firefighter/Law Enforcement Officer's First Name:

Firefighter/Law Enforcement Officer's Last Name:

Firefighter/Law Enforcement Officer's Street Address:

Firefighter/Law Enforcement Officer's City:

Firefighter/Law Enforcement Officer's State:

Firefighter/Law Enforcement Officer's Zip Code:

Firefighter/Law Enforcement Officer's Phone Number:

Firefighter/Law Enforcement Officer's Email Address:

Please tell us why you are nominating this Firefighter/Law Enforcement Officer and indicate if this was a singular act or a lifetime of services. (400 words or less):

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2012 ASPCA Humane Award Nomination - Public Service Award

2011 ASPCA Humane Award Nomination - Public Service Award (Firefighters, Law Enforcement Officers, etc.)

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