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Animal Hall of Fame Nomination Form Date Submitted Nominee Animal s Name Owner/Client Name Address Phone Veterinary Sponsor Practice Name or Nominating Organization Name Organization 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.
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To fill out the owner/client name, follow these steps:
02
Find the space provided on the form where the owner/client name is required.
03
Write the full legal name of the owner or client in the designated area.
04
Make sure to use correct spelling and include any titles or suffixes if applicable.
05
Double-check the accuracy of the name before submitting the form.

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Ownerclient name is the name of the individual or entity who owns or is responsible for the client.
The individual or entity who is the owner or responsible for the client is required to file ownerclient name.
Ownerclient name can be filled out by providing the full legal name of the individual or entity.
The purpose of ownerclient name is to accurately identify the owner or responsible party for the client.
The information reported on ownerclient name must include the full legal name of the owner or responsible party.
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