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Association Name:

 

Association Type:

 

Number of Units/Members:

 

Date of Meeting:

  /               / (month/day/year)

Location of Meeting (City):

 

County:

 

Day or Night Meeting Time:

 

Weekday or Weekend Meeting:

 
Contact Person:  
Contact Phone Number:   ( )   -   Ext:
Contact Fax Number:   ( )   - 
Contact Email:  
Services Requested:   Basic Inspector of Elections
    PA System (two microphones included)
    Laptop, LCD Projector, and Screen (indoor only)
    Additional Services, please let us know what else you need:
 

 

       

 

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