Ballot Request Form
North Dakota Democratic-NPL vote by mail ballot request form. This ballot request MUST be submitted by February 25, 2020 in order to be fulfilled.
First Name *
Your answer
Last Name *
Your answer
Legislative District -- if you don't know your district, please enter your address here: https://www.legis.nd.gov/lcn/assembly/constituentViews/public/findmylegislator.htm *
Physical (Voting) Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Mailing Address (if different from physical address)
Your answer
Email Address *
Your answer
Phone Number *
Your answer
By submitting this form, I request that the Dem-NPL mail me a ballot at the above listed address in order to vote in the Democratic Presidential Primary. I promise that if I fill out and submit the ballot I receive, I will not vote at the in-person Firehouse Caucus on March 10 and understand that any individual who attempts to vote twice will have their ballot destroyed and not counted. *
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