Municipal Referendum Voting Form

Municipal Referendum Voting Form
Submit your official vote for the municipal referendum. Please complete all required fields to ensure your vote is valid.
Voter Full Name
First NameLast Name
Residential Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Are you a legal resident of this municipality?
Are you at least 18 years old as of today?
Have you already voted in this referendum?
Referendum Question: Do you support the proposed municipal project as outlined in the official referendum notice?
Please provide any comments or reasons for your vote (optional)
Voter Signature (please sign to validate your submission)
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Verification: Please complete this captcha to verify you are not a robot.
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