Town of Bedford New Hampshire
Voter Registration
CHANGES
DATE:_____________
Mark Appropriate Box: Name Address:
OLD Name and/or Address: _______________________________
NEW Name and/or Address: _______________________________
DOB (mm/dd/yyyy):__________________ Telephone:_____________
Print Name:________________________________________________
Signature:_________________________________________________
NAME AND ADDRESS CHANGE FORM INSTRUCTIONS
- Print the form using "Print-Friendly Version" (or pick one up at the Town Offices).
- Complete the entire form.
- Pay special attention to Date of Birth.
- Sign the form.
- Mail the form or drop it off at the Town Offices in the box located in the lobby.
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