Hart County Republican Party Convention
I wish to be considered as a delegate or alternate to the Hart County Republican Party County Convention on April 17, 2021.  If elected by my precinct to be a delegate or alternate to the County Convention, I give the elected precinct or convention chair my permission to disclose on the official paperwork the following information if I am not present in person.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Middle Name *
Last Name *
Address *
City *
Zip Code *
Voting Precinct *
Voter Registration Number ( Use GA SOS LookUp  Web SiteURL ) https://www.mvp.sos.ga.gov/MVP/mvp.do      Select the Print Registration Card and copy the number from the PDF form. Print a copy if desired.
Date of Birth - mm/dd/yy *
MM
/
DD
/
YYYY
Gender
Clear selection
Phone - Cell and Home *
Are you a HART County Republican Party Member
Clear selection
Are you interested in attending the Georgia GOP District 9 Republican Convention on May 15 at the Dillard House.
Clear selection
MY PLEDGE AS A CONVENTION PARTICIPANT - I CERTIFY THAT I am a legally registered voter in Hart County Georgia in the Precinct indicated above, and I desire to participate in the 2021 Hart County Precinct Caucus. I further certify that I believe in the principles of the Republican Party. *
Please SUBMIT Below
This will eMail your form to hartgop2020@gmail.com or you can Print and bring to the Convention. Convention sign in will require affirmation signature of Republican Party Principles.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms