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Office:
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Party:
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Candidate's Name:
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Candidate's Occupation:
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Address:
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Apt, Unit:
City:
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State:
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Zip Code:
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Please enter a valid Zip Code.
MAILING ADDRESS OF CANDIDATE
Is the mailing address the same as the candidate's address?
Yes
No
Mailing Address 1:
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Mailing Address 2:
City:
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State:
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Mailing Zip Code:
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Please enter a valid Zip Code.
Ward:
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Please enter a two-digit ward.
Division:
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Please enter a two-digit division.
Phone Number:
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Please enter a valid phone number.
Please review your information below and make sure your name appears exactly as you wish it to be on the ballot. Only alphabetical characters and spaces are allowed currently.
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FIRST NAME
MIDDLE NAME
LAST NAME
All checkboxes are required to submit
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Petition must be printed double-sided or it will not be accepted.
Candidate is NOT a city employee or candidate is a city employee and is aware of the political activity and resign to run provisions in Article 10 of the City Charter.
I have read and understand the instructions.
Article 10/Artículo 10
Instructions/Instrucciones
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