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22 <br /> 6 <br /> PART 1 . Nominee and Submitter Information <br /> Nominee <br /> NAME : <br /> ADDRESS . <br /> CITY/STATE/ZIP : <br /> DAYTIME PHONE : <br /> E -MAIL : <br /> Submitted By : <br /> NAME : <br /> ORGANIZATION : <br /> ADDRESS , <br /> CITY/STATE/ZIP : <br /> DAYTIME PHONE : <br /> & MAIL : <br /> Part 2 . Abstract / Narrative of Accomplishment <br /> Please submit a brief abstract or narrative (500 words or less) that <br /> clearly explains how the individual nominated is an exemplary <br /> conservationist and why he/she should receive the Conservation Award . <br /> (please attachment separate sheets as needed) <br />