Petition to Support Independent Candidate for County Clerk

Petition to Support Independent Candidate for County Clerk

Sign this petition to help get an independent Latino candidate on the ballot as the first Latino and youngest county clerk.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number (optional)
Please enter a valid phone number.Format: (000) 000-0000.
Address (optional, to confirm county residency)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Why do you support this candidate? (optional)
Should be Empty: