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Full Name
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Your answer
Pickup Address
*
Your answer
Phone Number
*
Your answer
Email Address
Your answer
Preferred Date for Voting
*
Early Voting Oct 19 (Monday)
Early Voting Oct 20 (Tuesday)
Early Voting Oct 21 (Wednesday)
Early Voting Oct 22 (Thursday)
Early Voting Oct 23 (Friday)
Early Voting Oct 24 (Saturday)
Early Voting Oct 25 (Sunday)
Early Voting Oct 26 (Monday)
Early Voting Oct 27 (Tuesday)
Early Voting Oct 28 (Wednesday)
Early Voting Oct 29 (Thursday)
Early Voting Oct 30 (Friday)
Election Day Nov 3 (Tuesday)
Preferred Time of Day
*
Morning
Afternoon
Evening
Do you require an accessible vehicle or special assistance?
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