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Date Submitted Nominee Name Address Phone Number of Years as a CVMA member CVMA Member nominating this individual Please submit nomination before the December 31 due date to CVMA Attn Marie Heinz 1400 River Park Drive Suite 100 Sacramento CA 95815 916 649-0599 Fax 916 646-9156 Email mheinz cvma.net. California Veterinary Medical Association s Dan Evans Memorial Award Nomination Form Please fill out this form and submit to CVMA.
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