Who would you like to nominate for
2015 Gallup Senior Citizen of the Year?

Your vote will be anonymous. You are allowed to vote only one time. Voting ends on January 15th, 2015. The senior citizen with the most votes becomes the 2015 Gallup Senior Citizen of the Year.
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Senior Name:
Phone #
Are they at least 70 years young?
Do they currently live in Gallup?
Have they lived in Gallup at least 35 years?

Why are you nominating this person?
How are they special to you or to Gallup?

* Your First Name:
* Your First Last:
* Your Phone #:
Email:

Don't enter anything here:

Thank you for your vote. The Gallup Senior Citizen of the Year contest is sponsored by The Rosebrough Law Firm as a community service project. If you have any questions please call us at (505)722-9121.