County Committee Members: Register for the 2020 Virtual Mini-Convention
First Name of Delegate *
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Last Name of Delegate *
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Email address where ballot will be sent.
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Municipality of Delegate *
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Election district of Delegate
Members of the county committee are elected to represent their election district, also known as a precinct. If you do not know, leave it blank
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Congressional District of Delegate *
Phone Number *
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Will this ballot be cast by someone other than the delegate? (a designee)
Email Address of Designee
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First Name of Designee
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Last Name of Designee
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Phone Number of Designee
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