AW3-1
03/07
Page ___________ of ___________
REGISTRATION OF CUSTOMERS
Name of printing company: _______________________________________________________
Date: ________________________________________________________________________
(check one.)
Original registration for customer
Supplemental registration for customer
2
Name of customer (political subdivision) you sell to (include separate registration page for each customer
i.e., county Democratic party, county Republican party, or the county):
Identify county (and party):
Name of customer contact:
Type of election: Primary Runoff General
Type of printing (check as appropriate)
3
A. BALLOTS (check appropriate type of ballot):
1. Paper ballots 2. Optical scan ballots 3. Other: Ballot Now, Ballot
on Demand, Programming
of DRE’s
B.
ELECTION FORMS (brief
description):
C. OTHER (brief description):
2
If any information should change or additional services are provided after the original registration has been filed for a
particular customer, indicate that this is a supplemental registration.
3
If you are registering for a primary election, and the services will be different between the first primary and the runoff,
indicate the election at which the service will be provided. For example, you may be printing Optical Scan Ballots for the first
primary and paper ballots for the runoff election. You will check both numbers 1 and 2 and indicate to which election each
pertains.
