To enter a nomination for review by the Meritorious Service Award Review Committee, please complete this information as thoroughly as possible. Submit the information to Claudia Williams, Committee Chair, 3116 McBryde St., Linden NC 28356. If you have questions regarding the award or this form, please contact one of the following committee members: Lisa Ivey, Cindy Andrews, Suzi Paine, Mary Lou Olszewski, Judy Robb, or Fritz Schmidt. A printable form is
available at merithound.html if you prefer. Nominations must be submitted by April 15 of even numbered years. Thank you for your participation!
Registered Name of dog being nominated:
Country of registry:
Dog's date of birth (and death, if applicable):
Name and Address of Owner:
Name and Address of Nominator (if Nominator is not the owner):
Brief Biography of Dog and Service Accomplishments:
Narrative of why you have chosen this dog (use additional pages if necessary):