EMHQ Voting Appointment

Name

First nameMiddle name (if applicable)Last name
Date of birth

YearMonthDay
Markham address

Street number and name (e.g., 123 Main Street, Unit 6)

Street Address Line 2

CityState / Province

Postal code
Email address

Confirmation EmailPlease re-confirm your email address
Phone number
Please enter a valid phone number.Format: 000.000.0000.
Are you a Canadian citizen?
You must be a Canadian citizen to vote in this election.
Are you Roman Catholic?
Is French your first learned language, or did you or your children receive primary education at a Canadian French-language school (not including French immersion or FSL)?
Will anyone else be voting with you (e.g., family, friends)?
Who else will be voting with you?
Appointment time
Should be Empty: