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Enter your information below exactly as it appears on your voter registration card.  All fields must be completed.  If you were to enter birth date information for May 7, 1973 - you would enter 05 for the month, 07 for the day, and 1973 for the year.

Last Name
First Name
Month of birth (mm)     
Day of birth (dd)
Year of birth (yyyy)

 

 

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