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Request a Ride to Vote
rec
2022-08-09T16:50:51-04:00
Ride Share to Vote Request
First Name
(Required)
Last Name
(Required)
Phone Number
(Required)
Email
(Required)
Address
(Required)
Street, City, State, Zip
(Required)
I need a ride to vote.
How do you plan to vote?
(Required)
Drop ballot off at secure drop box
Early voting
Vote on Election Day
If early voting, do you have a specific day that you'd like to go?
Do you have medical/mobility equipment that you require to travel with?
(Required)
Yes
No
If yes, explain.
