Election Registration Form             

 

Voter Registration Name____________________________ Date_____________________________ Birth date _________________________ Address ____________________________________________              ____________________________________________ Where were you born? ________________________________________ How long have you lived at your current address? ____________________

Voter Registration Name____________________________ Date_____________________________ Birth date _________________________ Address ______________________________________________              _______________________________________________ Where were you born? ________________________________________ How long have you lived at your current address? ____________________