NORTH CAROLINA VOTER REGISTRATION APPLICATION

Voter Registration Instructions: You must fill out this application completely.You MUST print this form when prompted to. If you do not print you will have to resubmit this application.Once printed SIGN and DATE at the bottom. You must mail the printed form to:

Section 1

(You must agree to the two questions before submitting.)

Are you a citizen of the United States of America?

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form

Thank you! Your submission has been received!

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IF YOU CHECKED "NO" IN RESPONSE TO THIS QUESTION, DO NOT SUBMIT THIS FORM.

Section 2

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form

Thank you! Your submission has been received!

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Section 3

Thank you! Your submission has been received!

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