Lea County Cowboy Hall of Fame Inductee
Nomination Form
5317 Lovington Hwy Hobbs, New Mexico 88240 575-492-2678
Nominee’s Full Name
(plus nickname, if there is one): _________________________________________
Date of Birth: ___________________Date of Death: _______________________
Address
(if living):
___________________________________________________________________________________
Profession
(how nominee made or makes his/her living):
___________________________________________________________________________________
___________________________________________________________________________________
Name of Immediate Family Members:
___________________________________________________________________________________
___________________________________________________________________________________
____________________________________________________________________________________
List the ways in which the nominee has distinguished himself/herself as a community leader, an
outstanding rodeo performer, or a helping hand in the development of the livestock industry.
Achievements:
*Person to contact for memorabilia: Nominated by:
Name: ____________________________________ Name: _____________________________________
Address: __________________________________ Address: ___________________________________
City: _____________State: ______ Zip: _________ City: _______________State: ____ Zip: __________
Daytime Phone: _____________________________ Daytime Phone: _____________________________
Email: ____________________________________ Email: _________________________________
* If inducted, memorabilia will be requested. (Over)