Request For Voter Registration Form
APIAVote-MI is a nonpartisan organization that serves the APIA community through civic participation, advocacy and education. Our organization envisions an empowered APIA people who are fully engaged in addressing issues in our community to make positive change and one of the ways in which we do this is through voter mobilization.

Please complete the form below for a voter registration form. We will mail you a voter registration form, along with an envelope stamped to your clerk's office. We will also send you instructions on how to fill out your voter registration form.

To be eligible to register to vote you must be:
-A Michigan resident (at the time you register) and a resident of your city or township for at least 30 days (when you vote)
-A United States citizen
-At least 18 years of age (when you vote)

For more information on APIAVote-MI, visit our website at www.apiavotemi.org
Twitter: @apiavotemi || Facebook: APIAVote-Michigan || contact@apiavotemi.org
Name (First and Last) *
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Phone Number *
Please Format: (xxx) xxx-xxxx
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Email Address *
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Street Address *
Example: 123 Main Street, Apt 4A; Your address helps us to determine who to contact when we're targeting specific geographies
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City *
Your answer
Zip Code *
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Comments or Questions?
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