JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Registration for SCC Meeting to elect a new RPNM Chair (for technical support Daphne Orner 505-681-4278)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Please put your full Birthdate for eligibility verification (xx/xx/xxxx)
*
Your answer
First Name
*
Your answer
Last Name
*
Your answer
Address, City, Zip Code
*
Your answer
Cell Phone
*
Your answer
County where you are an SCC Member from the RPNM SCC List published on February 13, 2026 (See attached)
*
Your answer
Attending or by proxy
*
Attending
By Proxy
Person with my proxy (5 proxies per person)
Your answer
Email for person with my proxy (Must be registered Republican from my County)
Your answer
Proxy's Carrier's Birthdate (xx/xx/xxxx)
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Republican Party of Bernalillo County.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report