Please write your first name as it appears on your Ohio voter registration.
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Last Name *
Please write your last name as it appears on your Ohio voter registration.
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Street Address *
Please use the address from your Ohio voter registration.
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Apartment Number
Please use the address from your Ohio voter registration.
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City *
Please use the address from your Ohio voter registration.
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Zip Code *
Please use the address from your Ohio voter registration.
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If you prefer to receive mail at an address other the address on your Ohio voter registration, please share it here.
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County *
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Adams
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Union
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Phone Number *
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Can you receive text messages at this number *
Are you registered to vote in Ohio? *
If you answered "no" to the previous questions, please explain why you are not registered. If you are too young, please share when you will be eligible to vote.
Your answer
To be a voting member of the Ohio Green Party Annual Meeting you cannot be a member of any other political party. Do you agree that you will not maintain membership in another political party and will not vote in another party's primary?
*
If you answer "no" to this question you will be added to our "green curious" data base, but will not be able to vote on any Ohio Green Party business.
A copy of your responses will be emailed to the address you provided.