Remote Voting Registration Form - 2025 Braddock Supervisor Special Election Primary
First Name
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Middle Name
Last Name
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Suffix
Street Address
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Street Address Line 2
City
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State
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ZIP Code
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Year of Birth
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Phone Number
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Email
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I, the undersigned, hereby state:
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I am a Democrat
I do not intend to support any candidate who is opposed to a Democratic nominee or endorsee in the ensuing election
I believe in the principles of the Democratic Party
I am a registered voter at the address provided above
Name
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First Name
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