HRP Delegate Appointment Request
Nominator Email address
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Email *
Email address (of nominee) *
First Name (as listed on your voter registration) *
Last Name (as listed on your voter registration) *
Address (as listed on your voter registration) (Street, City, HI ZIP) *
Primary Phone Number (10 digits) *
House District and Precinct (if known) (DD/P) *
Delegate or Alternate (Select One) *
Added by *
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