1.) Print YOUR name
as it appears on your voter registration card.
2.) You can enter EITHER your
birth date MM/DD/YY or your Voter Registration Number also found on
your voter registration card.
3.) Your street address.
4.) Your city.
5.) Your zip code.
6.) Your signature.
7.) The date signed MM/DD/YY.
Mail the completed form to: (We cannot accept Faxes or Emails of these
petitions as the ORIGINAL SIGNED petition is required)
1706 Ridge Ave
Holly Hill, Fl. 32117-1732
Thank you very much for your help.