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VEOP Ambassadors Program Application Form




  FULTON COUNTY DEPARTMENT OF REGISTRATION AND ELECTIONS

THE VEOP AMBASSADORS PROGRAM APPLICATION FORM

January 5, 2012    7-9 p.m.

(this form will pre-populate if you are logged in)

Name *
Address *
City *
State *
Zip *
Email Address *
Cell Phone *
 
Are you Registered to Vote
*
Last 4 Digits of Social Security *
Voter Registration Number (optional)
Geographic Region
*
Trained By

 Have any Questions?
 JB Reed
 (404) 668-1393
 Email Julia Reed

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