Transcription of Washington State Voter Registration Cancellation Form
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Washington State Voter Registration Cancellation Form06/2015instructionsYou may voluntarily cancel your Washington State Voter Registration by completing this form and returning it to your county elections department. The signature you submit on this form will be compared to the signature in your Washington State Voter Registration record before it is cancelled. For more information: Voter Registration Services (800) 448-4881 informationlast name first middledate of birth (mm/dd/yyyy)residential addresscity ZIPvoter Registration number (if known) email address (optional)phone number (optional)sign & datesignature of Voter dateWashington State County Elections DepartmentsFill and return this form to your county elections County210 W Broadway, Ste 200 Ritzville, WA 99169 P (509) 659-3249 F (509) 659-3254 CountyPO Box 129 Asotin, WA 99402 P (509) 243-2084 F (509) 243-2087 CountyPO Box 470 Prosser, WA 99350 P (509) 73
Port Townsend, WA 98368-0563 P (360) 385-9119 F (360) 385-9228 elections@co.jefferson.wa.us King County 919 SW Grady Way Renton, WA 98057 P (206) 296-8683 F (206) 296-0108 elections@kingcounty.gov Kitsap County 619 Division St, MS 31 Port Orchard, WA 98366 P (360) 337-7128 F (360) 337-5769 auditor@co.kitsap.wa.us Klickitat …
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