Collection of 4th Assembly District Nomination Signatures
We need to collect 200 signatures in order to be put on the ballot, and these signatures all need to be collected and delivered to Madison by June 1st. Instead of going door-to-door, we need to collect forms as safely and directly as possible from households within the 4th Assembly District.
This form will let Erik know that you are willing to collect signatures within your household – any signatures of eligible voters that you can safely collect are appreciated. Once the form is completed, Erik will reach out to you to assist in the completion of the necessary paperwork.
To determine if you live in District 4, please visit
. This website will show the current boundaries to see if you are eligible to sign.
Thank you so much for your assistance in this process!
First and Last Name
Please estimate how many eligible signatures you could safely collect in your residence.
How would you like to receive a nomination sheet?
No Contact Drop Off & Pick-Up
Email (PDF Sent to You; You Print & Mail Back)
Mail (w/ Prepaid Return Envelope)
Would you like a yard sign?
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