Fillable PollWorkerInterestForm POLLWORKER INTEREST FORM

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PollWorkerInterestForm POLLWORKER INTEREST FORM

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File type: PDF

U.S.A. forms for Pender County Government

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POLLWORKER INTEREST FORM
IF YOU ARE INTERESTED IN BECOMING A POLLWORKER
PLEASE FILL OUT THIS FORM AND MAIL IT TO
THE PENDER COUNTY BOARD OF ELECTIONS
P.O. BOX 1232, BURGAW, NC 28425
E-mail it to: PENDER.boe@ncsbe.gov
Fax it to: 910-2591269
• NAME: _______________________________________
• PHYSICAL ADDRESS:_____________________________
_______________________________________
• MAILING ADDRESS:______________________________
_______________________________________
• PRECINCT:_______________________________________
• D/O/B: _______________________________________
• PARTY AFFILIATION:_____________________________
• DAYTIME PHONE:________________________________
• EVENING PHONE:________________________________
MAKE FREEDOM COUNT
VOTE!
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PollWorkerInterestForm POLLWORKER INTEREST FORM

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Completed 1 November 2019

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