Harrisonburg Dem 2020 City Council             Caucus ABSENTEE Request Form


By participating in this selection of candidates, I agree I will support our selected slate and will not publicly support any other candidates in the Harrisonburg City Council Election on November 3, 2020.  I affirm I am the named registered voter of Harrisonburg City:
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  May Democratic Unassembled Caucus (extended to 5pm May 16)
Name *
Enter name or names used for voter registration
Address *
Enter full voter registration address
Email *
Phone # *
Birthdate
Optionally include your birthday - This is REQUIRED if multiple people with the same name live in your home ie: SR, JR, IIIrd etc
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Twitter
Optionally include your twitter handle
The Caucus closed at 5pm.  Email with ballot will come from Bill Ney.   Call (540) 434-5163 with questions or if you don't rapidly get email.
CHECK YOUR EMAIL "SPAM" FOLDER BEFORE RESUBMITTING
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