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Print the voter registration card. (Adobe Acrobat required) Complete the card with blue or black ink, NO PENCIL. Check the appropriate box that applies to your request. Leave the sections blank under precinct code, precinct name, town and other code. These sections are to be completed by your county clerk. Please print your correct Social Security Number, Date of Birth, Work Phone, Home Phone, Gender, Last Name, First Name and Middle Name Circle the correct suffix (if it applies to you) Please print the address where you live. Please print the address where you receive your mail, if it is different from the address above. Check one of the political parties. If you check other please write the name of your chosen political party. If you choose other, you are eligible to vote only for nonpartisan offices in any primary election. You may, however, vote for any candidate in all general and special elections. Note: You may change your political party affiliation at any time on or before December 31st to remain eligible to vote in the following primary election. Read the voter declaration, sign and date. If your signature is marked with an "X", you must have two witnesses sign your voter registration card. Please submit the completed voter registration card to your local county clerk. Upon receipt of your voter registration card, your county clerk will send you an acknowledgment card verifying your registration or informing you of a problem with your registration. This card will provide you with the information concerning your precinct location on election day. Deadline to register to vote in the Primary Election: December 31st, 2009 Upcoming primary election: May 18th, 2010 Voter registration deadline for General Election: October 3, 2010 Upcoming general election: November 2nd, 2010  |