2020 PRESIDENTIAL PRIMARY ELECTION
March 3, 2020

Party Committee Member Candidate Registration and Qualification Form

IMPORTANT NOTE: Please be sure to fill out all (*) Required Fields

Nomination Papers

First Day to Apply - September 27, 2019 / Last Day to File - December 6, 2019

Name & Registration Information

Name to appear on ballot as

*First Name

Middle Name Or Initial

*Last Name

*Name as Registered (If Different From Ballot Name)

Contact

*Residence Street Address

*City

*State

*Zip Code

Phone - Day

Phone - Evening

Fax

Email

Website

Media Contact

Address and telephone number for publication/internet that will be issued to news media.

*Street Address

*City

*State

*Zip Code

Phone - Day

Phone - Evening

Fax

Email

Website

Office Information

*Office Title (include District No.) -- Click here for Qualification Information

*Party

*Are You An Incumbent? Yes No

Incumbent Type:

Pickup Delivery Location

Confirmation

"I am aware of the qualifications for the office and understand this is not an official filing document until validation of my qualifications."

*Name of Candidate or Agent