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
Washington State County Elections Departments Fill and return this form to your county elections department. Adams County 210 W Broadway, Ste 200 ... Clark County PO Box 8815 Vancouver, WA 98666-8815 P (360) 397-2345 F (360) 397-2394 elections@clark.wa.gov Columbia County 341 E Main St, Ste 3
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