2021 RPV Convention Delegate Submission Form
*** THE DEADLINE TO PRE-FILE TO BECOME A DELEGATE HAS PASSED. NO NEW SUBMISSIONS WILL BE ACCEPTED ***

Deadline: Monday, April 12, 2021 at 5:00pm.

Delegate Filing Form Instructions
Unit: Arlington County Republican Committee (Arlington GOP)
Deadline: Monday, April 12, 2021 at 5:00pm

How to file electronically: Fill out this form, free of charge.
How to file in-person: Coordinate with Arlington GOP Chairman Andrew Loposser for limited, in-person delegate form submission.
Printable Form: https://virginia.gop/wp-content/uploads/2021/03/Delegate-Pre-File-For-for-Unit-Chairmen-v2.pdf
Post-marks: All mailed filing forms must be received by Saturday April 10, 2021, at 5:00pm with no exceptions. Postmarks do not govern.

Qualifications:  Must be a resident of Arlington County and registered to vote in Virginia. Must certify (below) to support all Republican candidates on the 2021 General Election Ballot.

Convention Date: Saturday, May 8, 2021
No Delegate Filing Fee

Please provide your Voter Registration Number and your Name and Address as they appear on your voter record. You can find your Voter Registration Number and check your voter registration information at https://vote.elections.virginia.gov/VoterInformation/Lookup/polling, or consult your Voter Card.
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First Name *
Middle Name
Last Name *
Suffix
Voter Number *
Please enter your voter ID if you know it. Please use this link if you aren't sure: https://vote.elections.virginia.gov/VoterInformation/Lookup/polling
Registered Address *
As it appears on your voter registration, including street and unit number
City *
State *
ZIP Code *
Email Address *
Phone Number *
Phone Type *
Voter Signature *
By entering my name below, I certify that I am in accord with the principles of the Republican Party and that I will support its nominees in the November 2, 2021 General Election.
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